MR. Derek S Shaffer, ATC,LAT

NPI #1023235439 in Cabot, Arkansas

Provider Information

NPI Number
1023235439
Entity Type
Individual
Name
MR. Derek S Shaffer, ATC,LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC,LAT
Enumeration Date
Apr 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1055 HIGHLAND BLVD
City
Cabot
ZIP Code
72023-6001
Phone
(501) 412-3717

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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