Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAWN KEN BLOYER, M.S., ATC
ActiveAthletic Trainer · SPRING GROVE, MN
Registration Details
- NPI Number
- 1053355016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2006 (19.847952659394 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1873 (MN)
Practice Information
- Address
-
161 1ST ST SWSPRING GROVE, MN, 559741270Browse MN providers · Browse ZIP 55974
- Phone
- 5074983513
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.