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

Ian David Lackey, ATC

Individual provider Athletic Trainer · NPI 1609325539

Ian David Lackey, ATC is an Athletic Trainer in Vermillion, South Dakota. Licensed in South Dakota. Registered with an NPI since 2016.

Licensed in
SD
In the registry since
2016
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

414 E Clark St
Vermillion, SD 57069-2307
Phone: (605) 658-5541
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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 0460 (SD)

Record details

NPI number1609325539
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedOctober 4, 2016
Last updated in NPPESOctober 4, 2016
Mailing address722 Lincoln St, Apt 200, Vermillion, SD 57069-2401

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