Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA SHANELL ITTNER, ATC
Active Sole ProprietorANDREA SHANELL ITTNER, ATC is a Athletic Trainer healthcare provider located in BENTONVILLE, Arkansas. NPI 1326578584 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BENTONVILLE, AR
Registration Details
- NPI Number
- 1326578584
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2017 (8.9695843712211 yrs)
- Last Updated
- Jul 21, 2022
- License
-
539 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1912 SW ASPEN STBENTONVILLE, AR, 727127754Browse AR providers · Browse ZIP 72712
- Phone
- 9184068170
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BENTONVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MRS. KEMBRA LEA MATHIS | ATC | 1982676839 |
| AMY JANE LENZ | — | 1891970273 |
| MR. CLINT LEE ANGLIN | ATC,LAT | 1609105253 |
| MR. JAMES ALAN WEST | ATC, CSCS | 1164747325 |
| ROBERT JEFFERY MCGEE | ATC / LAT | 1508112236 |
| MR. RICHARD OTTO TERNES | ATC | 1962930230 |
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.