Taylor Alexandra Bergh, MA, ATC
Individual provider Active NPI Athletic Trainer · Sioux Falls, SD
NPI 1669932273 · NPPES record last updated Mar 20, 2019
Key facts
- NPI
- 1669932273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0457 (SD)
- Practice address
- 3201 S Kiwanis Ave
Sioux Falls, SD 57105-4296 - Phone
- (605) 999-6501
- NPI assigned
- Mar 20, 2019
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0457 | SD | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0457 | SD | Yes |
Addresses
Primary practice location
3201 S Kiwanis Ave
Sioux Falls, SD 57105-4296
Mailing address
1601 W 44TH PL
Sioux Falls, SD 57105-6376
Phone (605) 322-3278
Other providers in Sioux Falls, SD
- Jennifer Christine Berger
- Timothy Francis Berger
- Demetria Antoinette Bergeson
- Lance Joseph Bergeson
- Jacob Andrew Berggren
- Jeanette F Berglin
- Michelle Lee Bergst
- Anthony J Bergstrom
- Heather Jean Berney
- Brooklyn Bertels
All providers in Sioux Falls, SD · Athletic Trainer in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.