Rebecca Ann Buchholz, MAT, LAT, ATC
Individual provider Active NPI Athletic Trainer · Dakota Dunes, SD
NPI 1992552335 · NPPES record last updated May 5, 2024
Key facts
- NPI
- 1992552335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0789 (SD)
- Practice address
- 575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312 - Phone
- (605) 217-2667
- NPI assigned
- May 3, 2024
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0789 | SD | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1159 | NE | |
| Athletic Trainer | 2255A2300X | 0789 | SD | Yes |
Addresses
Primary practice location
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Mailing address
PO Box 172
Highmore, SD 57345-0172
Phone (605) 870-1397
Other providers in Dakota Dunes, SD
- Sarah M Brend
- Jenna Kittler Brewer
- Teresa J Broers Orlando
- Brianna Brownlee
- Beth K Bruening
- Brooke M Buum
- Aura Amanda Cambara Ochoa
- Peter G Canaday
- Joseph Harper Carreau
- James Lawrence Case
All providers in Dakota Dunes, 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 May 5, 2024. 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.