Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY LEE SHAW, PT
ActiveMR. JERRY LEE SHAW, PT is a Athletic Trainer healthcare provider located in OPELIKA, Alabama. NPI 1336186717 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · OPELIKA, AL
Registration Details
- NPI Number
- 1336186717
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2006 (20.161567506638 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
PTH2028 (AL)96096 (AL)
Practice Information
- Address
-
2000 PEPPERELL PKWYOPELIKA, AL, 368015452Browse AL providers · Browse ZIP 36801
- Phone
- 3345283270
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in OPELIKA, AL
| Name | Credential | NPI |
|---|---|---|
| MS. CRYSTAL MICHELLE RODGERS | ATC | 1104891878 |
| MR. TERRANCE CHRISTOPHER ROSENTHAL | A.T., C. | 1588707186 |
| MISS AIMEE C DEWITT | B.S., LAT, ATC | 1083070528 |
| MISS MARLENA GRACE PAYNE | LAT, ATC | 1427518653 |
| MRS. MORGAN CARR CAVANAGH | MS LAT ATC | 1508404864 |
| DAKOTA WHALEY | LAT, ATC | 1720776396 |
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.