Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAUN WALDRON, ATC, LMT
ActiveSHAUN WALDRON, ATC, LMT is a Athletic Trainer healthcare provider located in NORTH SYRACUSE, New York. NPI 1306135009 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NORTH SYRACUSE, NY
Registration Details
- NPI Number
- 1306135009
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2011 (15.36791911804 yrs)
- Last Updated
- Apr 15, 2016
- Licenses
-
001911 (NY)024785 (NY)
Practice Information
- Address
-
5496 E TAFT RD STE CNORTH SYRACUSE, NY, 132123784Browse NY providers · Browse ZIP 13212
- Phone
- 3152513100
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Massage Therapist
Other Athletic Trainer Providers in NORTH SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN CLARK | — | 1043677446 |
| KATJA MEYER | — | 1093487472 |
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.