Healthcare Provider Details

I. General information

NPI: 1801948989
Provider Name (Legal Business Name): ROCHELLE M. LAURET MS, ATC, CSCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 E 23RD ST ORTHOPEDIC INSTITUTE
SIOUX FALLS SD
57105-2135
US

IV. Provider business mailing address

7608 W LEAH ST
SIOUX FALLS SD
57106-4728
US

V. Phone/Fax

Practice location:
  • Phone: 605-331-5890
  • Fax:
Mailing address:
  • Phone: 605-362-9145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number0113
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: