SearchSouth Dakota390200000X

Travis Olsen, ATC

NPI 1639510357 · on the registry since 2013

Practice

Address
414 E Clark St
Dakota Dome #112
Vermillion, SD 57069
Phone
(605) 677-5960
Organisation at this address
State Of South Dakota
Usd Student Counseling Center
University Of South Dakota Dental Hygiene
Progression Psychological & Behavioral Health Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota