Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACIE LYNN SHAW, ATC, LAT
Active Sole ProprietorTRACIE LYNN SHAW, ATC, LAT is a Athletic Trainer healthcare provider located in WASHINGTON, Washington D.C.. NPI 1093494080 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WASHINGTON, DC
Registration Details
- NPI Number
- 1093494080
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2023 (3.0343920995887 yrs)
- Last Updated
- Jul 17, 2023
- Licenses
-
0126001356 (VA)AT9216 (TX)A00543 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3612 WOODLEY RD NWWASHINGTON, DC, 200165033Browse DC providers · Browse ZIP 20016
- Phone
- 2025375789
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in WASHINGTON, DC
| Name | Credential | NPI |
|---|---|---|
| DIANE TURGEON | MS, ATC | 1295728640 |
| MS. VERONICA AMPEY | MS, ATC | 1952364432 |
| MR. NAVIN HETFIARCHCHI | ATC CSCS PES | 1518924349 |
| MR. MICHAEL ARTHUR WALKER | MED, ATC, CSCS | 1750347787 |
| MISS LAUREN S HAYNIE | ATC | 1659320232 |
| MS. STACEY SLAYBACK | ATC | 1386689107 |
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.