Benjamin Morris Gannon, ATC Valid NPI

Individual provider · Athletic Trainer · Sioux Falls, SD

NPI

1285171132

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

0724 (SD)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-01-30

Last updated

2024-09-11