MEDICARE: SARAH KAY SEBERT

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
1	2255A2300X	Athletic Trainer		SD

General Provider Information

NPI Number	:	1750215471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH KAY SEBERT

Provider Business Mailing Address
First Line	:	36 N HARMON DR
Second Line	:
City	:	MITCHELL
State	:	SD
Zip	:	57301-6242
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 S DOUGLAS ST
Second Line	:
City	:	ELK POINT
State	:	SD
Zip	:	57025-2322
Country	:	US
Telephone Number	:	605-356-5950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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