Jons, Tyra Larae

Jons, Tyra Larae is an individual health care provider with primary practice located at 1635 Caregiver Cir , Rapid City SD 57702-8529. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Jons, Tyra Larae can be contacted via phone (605) 755-6100.

Contact Information

Primary practice address
1635 Caregiver Cir Rapid City SD 57702-8529
Phone: (605) 755-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0592 South Dakota

Profile Details

NPI number 1275024432
LBN Legal business name Jons, Tyra Larae
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2018
Last updated May 8th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275024432 NPPES
South Dakota Other 01324319 DRIVERS LICENSE

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