IndividualActive
Amanda Wassenaar, MLS
NPI 1740951128 · Medical Technologist · Rapid City, SD
Provider details
- NPI number
- 1740951128
- Entity type
- Individual
- Primary specialty
- Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- MLS
- Sex
- Female
- Sole proprietor
- No
Practice location
3200 Canyon Lake Dr Ste 1
Rapid City, SD 57702-8114
Phone: (605) 355-2227
Mailing address
5260 Basswood St
Rapid City, SD 57703-6500
Registry dates
- Enumerated
- 2021-09-24
- Last updated
- 2021-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.