Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON DIANE WYATT, ATC
Active Sole ProprietorSHANNON DIANE WYATT, ATC is a Athletic Trainer healthcare provider located in OAK PARK, Illinois. NPI 1992923585 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · OAK PARK, IL
Registration Details
- NPI Number
- 1992923585
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2007 (19.281462730842 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1145 N HARLEM AVEOAK PARK, IL, 603021529Browse IL providers · Browse ZIP 60302
- Phone
- 7083862086
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in OAK PARK, IL
| Name | Credential | NPI |
|---|---|---|
| TANYA LYNN YASKOFF | ATC, PES | 1952391880 |
| MR. ANTHONY JOHN MCCORMICK | ATC | 1396736369 |
| MR. MICHAEL BARNISH | ATC | 1558335489 |
| MS. HOLLY J ODEAN | A.T.,C. | 1114044948 |
| DAVID HEIDLOFF | ATC, NASM-PES | 1700153426 |
| KELLY THERESE SMITH | ATC, LAT | 1588026975 |
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.