Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANNON BRANTLEY, P.T, A.T.C.
ActiveMR. SHANNON BRANTLEY, P.T, A.T.C. is a Athletic Trainer healthcare provider located in VIDALIA, Georgia. NPI 1609081942 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · VIDALIA, GA
Registration Details
- NPI Number
- 1609081942
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2007 (19.225699383958 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
PT 007647 (GA)AT 001133 (GA)
Practice Information
- Address
-
101 HARRIS INDUSTRIAL BLVDVIDALIA, GA, 304748845Browse GA providers · Browse ZIP 30474
- Phone
- 9122772044
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in VIDALIA, GA
| Name | Credential | NPI |
|---|---|---|
| MARY W BENNETT | ATC, LAT | 1134158538 |
| MRS. MINDY SHOOK ELLIS | ATC | 1720412265 |
| KELLIE MACK | ATC | 1972271765 |
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.