IndividualActive
Daniel Wagner, ATC
NPI 1912957713 · Athletic Trainer · Mitchell, SD
Provider details
- NPI number
- 1912957713
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- License
- 0049 (SD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1200 W University Ave
Box 912
Mitchell, SD 57301-4358
Phone: (605) 995-2145
Fax: (605) 995-2143
Approximate (ZIP-level) locationGet directions
Mailing address
1200 W University Ave
Mitchell, SD 57301-4358
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.