Provider Demographics
NPI:1548312820
Name:COVEY, ERIN R (MS, ATC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:R
Last Name:COVEY
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BLACK HILLS STATE UNIVERSITY
Mailing Address - Street 2:1200 UNIVERSITY UNIT 9403
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57799-9403
Mailing Address - Country:US
Mailing Address - Phone:605-642-6622
Mailing Address - Fax:605-642-6539
Practice Address - Street 1:BLACK HILLS STATE UNIVERSITY
Practice Address - Street 2:1200 UNIVERSITY UNIT 9403
Practice Address - City:SPEARFISH
Practice Address - State:SD
Practice Address - Zip Code:57799-9403
Practice Address - Country:US
Practice Address - Phone:605-642-6622
Practice Address - Fax:605-642-6539
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD01992255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer