Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JESSICA SHANKS, ATC, VATL
Active Sole ProprietorMISS JESSICA SHANKS, ATC, VATL is a Athletic Trainer healthcare provider located in WOODBRIDGE, Virginia. NPI 1942617691 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WOODBRIDGE, VA
Registration Details
- NPI Number
- 1942617691
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2014 (12.097019570035 yrs)
- Last Updated
- Jul 15, 2014
- License
-
0126000201 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15721 FOREST PARK DRFOREST PARK HIGH SCHOOLWOODBRIDGE, VA, 221933180Browse VA providers · Browse ZIP 22193
- Phone
- 7035833200
- Fax
- 7035836867
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WOODBRIDGE, VA
| Name | Credential | NPI |
|---|---|---|
| VERNON JOHNSON | ATC | 1336486281 |
| ALISA ZAMUDIO | ATC | 1720477821 |
| JOHN GIRTON JR. | MS, ATC, CSCS | 1669863353 |
| MR. BRANDON HOLLAND SR. | — | 1336590983 |
| SASH-SHA COLLIER | — | 1982140992 |
| JORDYN LYNN KALANI KNAPP | — | 1689140444 |
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.