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NPI Code Detail

MEDICARE: ASHLEY BURKMAN ATC

MEDICARE:   ASHLEY  BURKMAN  ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer0662SD

General Provider Information

NPI Number : 1376361766
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY BURKMAN ATC
Provider Business Mailing Address
First Line : 1210 W 18TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-4647
Country : US
Telephone Number : 605-328-2663
Fax Number : 605-328-3737
Provider Business Practice Location Address
First Line : 1210 W 18TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-4647
Country : US
Telephone Number : 605-328-2663
Fax Number : 605-328-3737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2024
Last Update Date : 01/24/2026

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Directions to “ ASHLEY BURKMAN ATC” Practice Location

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