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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN TYLER SHAW, LAT, ATC

Active

JUSTIN TYLER SHAW, LAT, ATC is a Athletic Trainer healthcare provider located in ALLEN, Texas. NPI 1376045054 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ALLEN, TX

Registration Details

NPI Number
1376045054
Provider Type
Individual
Gender
Male
NPI Issued
Mar 8, 2018 (8.4074827717961 yrs)
Last Updated
Oct 14, 2020
License
AT7790 (TX)

Practice Information

Address
368 N GREENVILLE AVE
ALLEN, TX, 750022232
Browse TX providers · Browse ZIP 75002
Phone
9723966975
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in ALLEN, TX

Name Credential NPI
MR. ROBERT MICHAEL HARRISON ATC 1265406094
MEGAN MCNEAL AT 1831466069
HONGRUI LIU 1629590344
BETHANY GARRISON LAT, ATC, CES 1801377346
RYAN P. MCGOVERN PHD, ATC 1427523000
ALLISON BEAZLEY LAT, ATC 1831656479
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.