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

SHANE DOUGLAS STECYK, ATC, CSCS

Active Sole Proprietor

SHANE DOUGLAS STECYK, ATC, CSCS is a Athletic Trainer healthcare provider located in NORTHRIDGE, California. NPI 1689718058 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · NORTHRIDGE, CA

Registration Details

NPI Number
1689718058
Provider Type
Individual
Gender
Male
NPI Issued
Feb 17, 2007 (19.460215984065 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
18111 NORDHOFF ST
DEPARTMENT OF KINESIOLOGY
NORTHRIDGE, CA, 913308287
Browse CA providers · Browse ZIP 91330
Phone
8186774738
Fax
8186773207
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in NORTHRIDGE, CA

Name Credential NPI
MR. SCOTT JAMES SHAW ATC 1831147644
DANIELLE JARVIS PHD, ATC, CSCS 1568617637
BRITTANY BINGHAM MA, ATC 1659786952
WINNIE VOONG 1285043471
PROF. SEAN PATRICK FLANAGAN ATC 1245776129
DANIEL TRAN 1407365307
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.