Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SARAH MARLENE SHADE, ATC, NREMT
Active Sole ProprietorSARAH MARLENE SHADE, ATC, NREMT is a Athletic Trainer healthcare provider located in MILLCREEK, Utah. NPI 1467081588 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MILLCREEK, UT
Registration Details
- NPI Number
- 1467081588
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2020 (6.3991606441685 yrs)
- Last Updated
- Mar 24, 2025
- Licenses
-
2023038475 (UT)12945874-4810 (UT)004879 (NY)AT006365 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2940 S 2300 EMILLCREEK, UT, 841091924Browse UT providers · Browse ZIP 84109
- Phone
- 6146004392
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
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.