Alexis Hildahl

Individual provider Active NPI Athletic Trainer · Sioux Falls, SD

NPI 1437896164 · NPPES record last updated Sep 12, 2024

Key facts

NPI
1437896164
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
0760 (SD)
Practice address
2001 S Summit Ave
Sioux Falls, SD 57197-5165
Phone
(605) 274-5306
NPI assigned
May 15, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0760SDMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0760 SD Yes

Addresses

Primary practice location

2001 S Summit Ave
Sioux Falls, SD 57197-5165

Mailing address

6028 W Bloomfield PL
Sioux Falls, SD 57107-2300

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Athletic Trainer in South Dakota

Sources for this page

Verify at the official NPI Registry.