Individual provider · Type 1 NPI

Ty Mauldin

Student in an Organized Health Care Education/Training Program · Sioux Falls, SD

NPI number 1134880453 Active

Practice location

1316 W Wicklow Ct
Sioux Falls, SD 57108-3252

Call (605) 836-1227 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134880453

Ty Mauldin's National Provider Identifier is 1134880453, issued on Jan 8, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sioux Falls, SD. The record was last updated on Aug 12, 2025.