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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE T PHILLIPS, MED, ATC/L, PES

Active

SHANE T PHILLIPS, MED, ATC/L, PES is a Athletic Trainer healthcare provider located in ANCHORAGE, Alaska. NPI 1063283463 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ANCHORAGE, AK

Registration Details

NPI Number
1063283463
Provider Type
Individual
Gender
Male
NPI Issued
Jan 15, 2024 (2.5748811045204 yrs)
Last Updated
Jan 15, 2024
License
123978 (IA)

Practice Information

Address
5955 ZEAMER AVE
ANCHORAGE, AK, 995063702
Browse AK providers · Browse ZIP 99506
Phone
9075802778
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in ANCHORAGE, AK

Name Credential NPI
MR. MICHAEL RAYMOND WOOD A.T.,C. 1316974033
MR. KYLE VINCENT REEVES RN, ATC 1255468880
LYNNE MARIE YOUNG ATC 1942325410
SHARON RUDOLPH ATC 1255532768
KRISTI CASTELLAW ATC 1255663753
MRS. JENNIFER SOSSAMON ATC, RN 1629482955
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.