Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN MAYREE SHADISH, LAT, ATC
ActiveKATHLEEN MAYREE SHADISH, LAT, ATC is a Athletic Trainer healthcare provider located in CECIL, Pennsylvania. NPI 1477091759 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CECIL, PA
Registration Details
- NPI Number
- 1477091759
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2017 (9.5097638616777 yrs)
- Last Updated
- Jun 12, 2018
- License
-
0126002868 (VA)
Practice Information
- Address
-
3 BISHOP ALYCECIL, PA, 15321Browse PA providers · Browse ZIP 15321
- Phone
- 4129131812
- Primary Specialty
-
Athletic Trainer
2255A2300X
- 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.