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

SHELBY NICOLE FANKHAUSER, ATC

Active

SHELBY NICOLE FANKHAUSER, ATC is a Athletic Trainer healthcare provider located in MADISONVILLE, Tennessee. NPI 1679075923 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MADISONVILLE, TN

Registration Details

NPI Number
1679075923
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2018 (8.4503464387572 yrs)
Last Updated
Mar 2, 2018
License
2112 (TN)

Practice Information

Address
4249 HIGHWAY 411
MADISONVILLE, TN, 373541544
Browse TN providers · Browse ZIP 37354
Phone
4234424034
Fax
4234426463
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MADISONVILLE, TN

Name Credential NPI
RYAN CHRISTOPHER MURPHY ATC 1598240335
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.