Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Morris Gannon, ATC

Individual provider Athletic Trainer · NPI 1285171132

Benjamin Morris Gannon, ATC is an Athletic Trainer in Sioux Falls, South Dakota. Practices as a sole proprietor. Licensed in South Dakota.

Licensed in
SD
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

810 E 23rd St
Sioux Falls, SD 57105-2135
Phone: (605) 331-5890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0724 (SD)

Record details

NPI number1285171132
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJanuary 30, 2017
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address1112 W 27th St, Sioux Falls, SD 57105-2707

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