Whalio Doctors

NPI 1710457932

Kimberly Leibel, ATCNRP

Practitioner Athletic Trainer Madison, SD

Practice location

Address
1302 N Washington Ave, Madison, SD 57042-5704
Phone
(605) 481-5000
Mailing address
PO Box 174, Madison, SD 57042-0174

Registered specialties (2)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0361 (SD)
Paramedic
Emergency Medical Service Providers Taxonomy 146L00000X Licence 1558 (SD)

Registry record

NPI
1710457932
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Nov 2018
Record last updated
30 Nov 2018

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.