Stout, Traci Lynn

Stout, Traci Lynn is an individual health care provider with primary practice located at 1635 Caregiver Cir , Rapid City SD 57702-8529. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Stout, Traci Lynn 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:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0695 South Dakota

Profile Details

NPI number 1164204350
LBN Legal business name Stout, Traci Lynn
Credentials MAT, LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2023
Last updated Oct 20th, 2023 - 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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