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

SHANE D MARQUARDT

Active Sole Proprietor

SHANE D MARQUARDT is a Athletic Trainer healthcare provider located in MILL CREEK, Washington. NPI 1538847629 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MILL CREEK, WA

Registration Details

NPI Number
1538847629
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2023 (3.0668191354931 yrs)
Last Updated
Jul 7, 2023
License
60680370 (WA)
Sole Proprietor
Yes

Practice Information

Address
15418 MAIN ST
MILL CREEK, WA, 980129030
Browse WA providers · Browse ZIP 98012
Phone
4257426034
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MILL CREEK, WA

Name Credential NPI
BRENDA LYNN BLACK AT,C 1871681130
ERIN MICHELLE BREMOND MS, ATC 1538547153
KALYN M HASENOEHRL MS, LAT, ATC 1205364767
AUSTIN KUNISHIGE ATC 1184181307
MRS. CATHERINE PHIPPS LAT, ATC 1780224782
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.