Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHAN TAYLOR SHELSTA, ATC
Active Sole ProprietorNATHAN TAYLOR SHELSTA, ATC is a Athletic Trainer healthcare provider located in DECATUR, Illinois. NPI 1255326187 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DECATUR, IL
Registration Details
- NPI Number
- 1255326187
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2005 (20.726911423332 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
311 S LINDEN AVEDECATUR, IL, 625222525Browse IL providers · Browse ZIP 62522
- Phone
- 2175201720
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| MR. PATRICK LARRY | ATC | 1205822863 |
| MR. JEFFREY BRUCE ROUNDS | M.S., A.T.C., L.A.T | 1376534636 |
| JOHN RICHARD STORSVED II | H.S.D. ATC | 1356313225 |
| MR. MATTHEW MUNJOY | ATC | 1205802964 |
| MS. MINDY E BINGAMON | MS, ATC | 1386610772 |
| MICHAEL STEPHEN KOCH | MS, ATC | 1235105404 |
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.