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

SHANE LEVENSON

Active Sole Proprietor

SHANE LEVENSON is a Athletic Trainer healthcare provider located in STENNIS SPACE CENTER, Mississippi. NPI 1740658541 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · STENNIS SPACE CENTER, MS

Registration Details

NPI Number
1740658541
Provider Type
Individual
Gender
Male
NPI Issued
Sep 10, 2015 (10.900586617281 yrs)
Last Updated
Sep 10, 2015
License
AT0452 (MS)
Sole Proprietor
Yes

Practice Information

Address
2603 LOWER GAINESVILLE RD
STENNIS SPACE CENTER, MS, 395297099
Browse MS providers · Browse ZIP 39529
Phone
2288134000
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in STENNIS SPACE CENTER, MS

Name Credential NPI
RENEE HENDERSHOT ATC 1952721896
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.