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

SHELLY MICKENS, MS, ATC, CSCS

Active

SHELLY MICKENS, MS, ATC, CSCS is a Athletic Trainer healthcare provider located in GLEN ALLEN, Virginia. NPI 1134467780 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · GLEN ALLEN, VA

Registration Details

NPI Number
1134467780
Provider Type
Individual
Gender
Female
NPI Issued
Jan 16, 2013 (13.535445642766 yrs)
Last Updated
Jan 16, 2013
License
0126000235 (VA)

Practice Information

Address
4101 COX RD
STE 301
GLEN ALLEN, VA, 230603320
Browse VA providers · Browse ZIP 23060
Phone
8042707750
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in GLEN ALLEN, VA

Name Credential NPI
SARI CATTONI ATC 1891137063
TANNER RYAN HOWELL ATC 1669905667
CAROLINE TAYLOR ATC 1033638440
ASHLEY LYNN MCALLISTER MS, LAT, ATC 1538833397
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.