Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANDA DANIELLE HENRY, MS, LAT, ATC
Active Sole ProprietorSHANDA DANIELLE HENRY, MS, LAT, ATC is a Sports Medicine (EM) healthcare provider located in TIGER, Georgia. NPI 1265303804 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · TIGER, GA
Registration Details
- NPI Number
- 1265303804
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2025 (0.87054467438439 yrs)
- Last Updated
- Sep 16, 2025
- License
-
AT002799 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
230 WILDCAT TRAILTIGER, GA, 30576Browse GA providers · Browse ZIP 30576
- Phone
- 7064901430
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
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.