Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP ALLEN SHAW, M.ED., A.T.C.
Active Sole ProprietorPHILLIP ALLEN SHAW, M.ED., A.T.C. is a Athletic Trainer healthcare provider located in MONROE, Louisiana. NPI 1912215906 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MONROE, LA
Registration Details
- NPI Number
- 1912215906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2010 (15.851898277932 yrs)
- Last Updated
- Nov 10, 2018
- License
-
J00150 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
681 HIGHWAY 594MONROE, LA, 712038900Browse LA providers · Browse ZIP 71203
- Phone
- 3183810140
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MONROE, LA
| Name | Credential | NPI |
|---|---|---|
| MS. RHIANNON REBECCA NEFF | M.ED., ATC | 1447440821 |
| SHEENA RAE LEE GALLOWAY | M.S., ATC. | 1518234822 |
| AMANDA PAIGE DORSEY | ATC, LAT | 1457760779 |
| ERICA WILLIAMS | ATC | 1043753338 |
| MR. BRIAN PASHKEVICH | ATC | 1548700503 |
| MR. ALEXANDER LEE FOREHAN | MS, ATC | 1427683234 |
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.