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

MR. MICHAEL SHAWN PORTER, ATC

Active Sole Proprietor

MR. MICHAEL SHAWN PORTER, ATC is a Athletic Trainer healthcare provider located in LOCK HAVEN, Pennsylvania. NPI 1992888770 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LOCK HAVEN, PA

Registration Details

NPI Number
1992888770
Provider Type
Individual
Gender
Male
NPI Issued
Oct 23, 2006 (19.622512220575 yrs)
Last Updated
Jul 8, 2007
License
RT-000866-A (PA)
Sole Proprietor
Yes

Practice Information

Address
401 SUSQUEHANNA AVE
LOCK HAVEN UNIVERSITY
LOCK HAVEN, PA, 17745
Browse PA providers · Browse ZIP 17745
Phone
5708932197
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LOCK HAVEN, PA

Name Credential NPI
ELISSA MARIE DELIO ATC 1982675120
MS. JODY RENEE PREISCHE ATC 1063475028
YVETTE M INGRAM PHD, LAT, ATC 1295779221
MR. ERIC L LIPPINCOTT PT, ATC 1174606958
MR. MATTHEW PYLE 1952618209
HELEN CORINNE HETZEL ATC 1972886182
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.