Alyssa Beacom
Specialist/Technologist, Athletic Trainer in Sioux Falls, SD. Individual provider (NPI-1).
NPI number1144636077
StatusActive
Last updated in NPPESJul 11, 2014
Details
- NPI
- 1144636077
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Beacom
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2014
- Last updated
- Jul 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
48027 Riverside PlSioux Falls, SD 57108-8209
Phone 605-521-7014
Mailing address
48027 Riverside PlSioux Falls, SD 57108-8209
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