Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KIMBERLY RAE SHAFFER, ATC
Active Sole ProprietorMR. KIMBERLY RAE SHAFFER, ATC is a Athletic Trainer healthcare provider located in PENROSE, Colorado. NPI 1154607356 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PENROSE, CO
Registration Details
- NPI Number
- 1154607356
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2011 (14.603730026061 yrs)
- Last Updated
- Nov 1, 2011
- License
-
2000007112 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1350 8TH STPENROSE, CO, 812409775Browse CO providers · Browse ZIP 81240
- Phone
- 7194295983
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.