NPI 1134608870

Blake Wooten

Practitioner Athletic Trainer Brookings, SD

Practice location

Address: 2820 Stanley J Marshall Center, Brookings, SD 57007-1999
Phone: (623) 258-7634
Mailing address: 2409 10th St APT 219, Brookings, SD 57006-5530

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0681 (SD)

Other Specialist/Technologist providers in South Dakota →

Registry record

NPI: 1134608870
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2018
Record last updated: 27 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.