Shane T Phillips, MED, ATC/L, PES

NPI #1063283463 in Anchorage, Alaska

Provider Information

NPI Number
1063283463
Entity Type
Individual
Name
Shane T Phillips, MED, ATC/L, PES
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MED, ATC/L, PES
Enumeration Date
Jan 15, 2024
Last Updated
Jan 15, 2024

Practice Location

Address
5955 ZEAMER AVE
State
Alaska
ZIP Code
99506-3702
Phone
(907) 580-2778

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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