NPI 1164204350

Traci Lynn Stout, MATLATATC

Practitioner Athletic Trainer Rapid City, SD

Practice location

Address: 1635 Caregiver Cir, Rapid City, SD 57702-8529
Phone: (605) 755-6100

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0695 (SD)

Other Specialist/Technologist providers in South Dakota →

Registry record

NPI: 1164204350
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Oct 2023
Record last updated: 20 Oct 2023

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.