Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE CHRISTOPHER NELSON, ATC
Active Sole ProprietorSHANE CHRISTOPHER NELSON, ATC is a Athletic Trainer healthcare provider located in GARDEN CITY, Idaho. NPI 1114352358 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GARDEN CITY, ID
Registration Details
- NPI Number
- 1114352358
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2013 (12.922710196353 yrs)
- Last Updated
- Feb 13, 2023
- License
-
AT-702 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5600 W GLENWOOD STGARDEN CITY, ID, 83714Browse ID providers · Browse ZIP 83714
- Phone
- 3193254177
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GARDEN CITY, ID
| Name | Credential | NPI |
|---|---|---|
| EMILY ANNE ALBERDA | — | 1508429499 |
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.