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

BRANDON DESHIELDS

Active Sole Proprietor

BRANDON DESHIELDS is a Athletic Trainer healthcare provider located in WEST GROVE, Pennsylvania. NPI 1932848488 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WEST GROVE, PA

Registration Details

NPI Number
1932848488
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2022 (4.1578964926753 yrs)
Last Updated
Jun 2, 2022
License
1022346 (PA)
Sole Proprietor
Yes

Practice Information

Address
105 WOODLAND AVE STE 7
WEST GROVE, PA, 193901137
Browse PA providers · Browse ZIP 19390
Phone
3022359215
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in WEST GROVE, PA

Name Credential NPI
MRS. JANELLE HADLY 1205053790
LEAH BALSAMO MS, LAT, ATC 1912437641
AMY BRUNER LAT, ATC 1467227165
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.