Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY M SHEPHERD, ATC
Active Sole ProprietorJEREMY M SHEPHERD, ATC is a Athletic Trainer healthcare provider located in SISTERSVILLE, West Virginia. NPI 1275769341 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SISTERSVILLE, WV
Registration Details
- NPI Number
- 1275769341
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2009 (17.193557944509 yrs)
- Last Updated
- Oct 16, 2024
- License
-
AT001038 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1993 SILVER KNIGHT DRSISTERSVILLE, WV, 261759600Browse WV providers · Browse ZIP 26175
- Phone
- 3047589000
- 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.