Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS CODY SHAW, ATC
ActiveNICHOLAS CODY SHAW, ATC is a Athletic Trainer healthcare provider located in PELAHATCHIE, Mississippi. NPI 1336800150 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PELAHATCHIE, MS
Registration Details
- NPI Number
- 1336800150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2022 (4.6166429576981 yrs)
- Last Updated
- Jan 4, 2022
- License
-
AT0567 (MS)
Practice Information
- Address
-
201 SOUTH BROOKS AVENUEPELAHATCHIE, MS, 39145Browse MS providers · Browse ZIP 39145
- Phone
- 6017595006
- 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.