NPI 1801252242

Mara Riedel

Practitioner Athletic Trainer Madison, SD

Practice location

Address: 800 NE 9th St, Madison, SD 57042-1104
Phone: (605) 270-1752
Mailing address: South Dakota State University Admin (sad) 100 Box:2201, Brookings, SD 57007

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0448 (SD)

Other Specialist/Technologist providers in South Dakota →

Registry record

NPI: 1801252242
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2016
Record last updated: 14 Jan 2016

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.