Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN SHIMODA, ATC
Active Sole ProprietorJORDAN SHIMODA, ATC is a Athletic Trainer healthcare provider located in FOXBOROUGH, Massachusetts. NPI 1134785728 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FOXBOROUGH, MA
Registration Details
- NPI Number
- 1134785728
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2019 (7.2098282692455 yrs)
- Last Updated
- May 20, 2019
- Licenses
-
2150 (AL)2000032108
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 PATRIOT PLFOXBOROUGH, MA, 020351374Browse MA providers · Browse ZIP 02035
- Phone
- 8083879375
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in FOXBOROUGH, MA
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID GRANITO | MS.,ATC. | 1891035713 |
| CRISTIN DRYER | — | 1750791265 |
| RIAN HEALY | ATC | 1881203164 |
| KEVIN RICHARD | ATC | 1154903391 |
| TIMOTHY HARROLD | MS, ATC | 1861155657 |
| MATTHEW KIRKPATRICK | — | 1164186342 |
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.