MR. Shane Michael Osgood, ATC, CEAS
NPI #1144466889 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1144466889
- Entity Type
- Individual
- Name
- MR. Shane Michael Osgood, ATC, CEAS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, CEAS
- Enumeration Date
- Dec 31, 2008
- Last Updated
- Sep 5, 2014
Practice Location
- Address
- 833 SHOSHONE ST N
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-6370
- Phone
- (607) 377-7850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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