Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANNON MICHAEL CHILDS I, MS, ATC
ActiveMR. SHANNON MICHAEL CHILDS I, MS, ATC is a Athletic Trainer healthcare provider located in MCKINLEYVILLE, California. NPI 1760419543 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MCKINLEYVILLE, CA
Registration Details
- NPI Number
- 1760419543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2006 (20.092033812233 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
1090 IMESON RDMCKINLEYVILLE, CA, 955193424Browse CA providers · Browse ZIP 95519
- Phone
- 7078264106
- Fax
- 7078265446
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.