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

MR. TRAVIS JON SHOCK, ATC

Active Sole Proprietor

MR. TRAVIS JON SHOCK, ATC is a Athletic Trainer healthcare provider located in FARGO, North Dakota. NPI 1689760845 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FARGO, ND

Registration Details

NPI Number
1689760845
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2006 (19.815790917904 yrs)
Last Updated
Jul 8, 2007
Licenses
1792 (MN)
271-03 (ND)
Sole Proprietor
Yes

Practice Information

Address
2400 32ND AVE S
FARGO, ND, 581035800
Browse ND providers · Browse ZIP 58103
Phone
2186432694
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in FARGO, ND

Name Credential NPI
THOMAS MICHAEL PETERSON ATC 1891755823
DONALD BRUENJES ATC 1881706075
PATRICK ALLEN LACINA ATC 1841380011
JENNIFIER R JOHNSRUD ATC 1558448373
MR. BRADLEY DEAN REED ATC 1154409944
MS. KELLY M HADLAND-BETKER ATC 1326125717
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.