Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON MORTIMER, LAT, C
ActiveSHANNON MORTIMER, LAT, C is a Athletic Trainer healthcare provider located in WEST ALLIS, Wisconsin. NPI 1487043881 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WEST ALLIS, WI
Registration Details
- NPI Number
- 1487043881
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2015 (11.555953791191 yrs)
- Last Updated
- Jan 22, 2015
- License
-
585-039 (WI)
Practice Information
- Address
-
9634 W ROSEDALE AVEWEST ALLIS, WI, 532273332Browse WI providers · Browse ZIP 53227
- Phone
- 9204180460
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WEST ALLIS, WI
| Name | Credential | NPI |
|---|---|---|
| MR. GREGG ALLAN EVERTS | ATC/L | 1891752887 |
| PAMELA GOODREAU | — | 1255500179 |
| PAUL GALLESKE | — | 1063681971 |
| JENNIFER LAUER | — | 1689843583 |
| MELISSA FISH | — | 1982873865 |
| RICARDO FRANCISCO VIDAL-CHAVEZ | — | 1972996056 |
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.