Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE MICHAEL OSGOOD, ATC, CEAS
Active Sole ProprietorMR. SHANE MICHAEL OSGOOD, ATC, CEAS is a Athletic Trainer healthcare provider located in TWIN FALLS, Idaho. NPI 1144466889 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · TWIN FALLS, ID
Registration Details
- NPI Number
- 1144466889
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 31, 2008 (17.579625055711 yrs)
- Last Updated
- Sep 5, 2014
- Licenses
-
AT-509 (ID)002043-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
833 SHOSHONE ST NTWIN FALLS, ID, 833016370Browse ID providers · Browse ZIP 83301
- Phone
- 6073777850
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD ALLEN BINGHAM | ATC | 1649232539 |
| MISS RACHEL ANN ELDREDGE | ATC | 1235230970 |
| MISS BROOKE SUZANNE REY | ATC, LAT | 1497068712 |
| ZOE STRAUSS | — | 1295268621 |
| ALEXA E TORBERT | MS, LAT, ATC | 1427512144 |
| ALEXANDRIA PYLE | MHA, LAT, ATC | 1841045291 |
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.