IndividualActive
Ian Lackey, ATC
NPI 1609325539 · Athletic Trainer · Vermillion, SD
Provider details
- NPI number
- 1609325539
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 0460 (SD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
414 E Clark St
Vermillion, SD 57069-2307
Phone: (605) 658-5541
Approximate (ZIP-level) locationGet directions
Mailing address
722 Lincoln St
Vermillion, SD 57069-2401
Registry dates
- Enumerated
- 2016-10-04
- Last updated
- 2016-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.