IndividualActive
Joseph Carroll, ATC, LAT, HGP-1
NPI 1841012499 · Athletic Trainer · Vermillion, SD
Provider details
- NPI number
- 1841012499
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT, HGP-1
- Sex
- Male
- Sole proprietor
- No
- License
- 0791 (SD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1101 N Dakota St
Vermillion, SD 57069
Phone: (605) 656-6203
Approximate (ZIP-level) locationGet directions
Mailing address
1101 N Dakota St
Vermillion, SD 57069
Registry dates
- Enumerated
- 2024-10-25
- Last updated
- 2024-10-25
- Certified
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.