Shane Reilly, ATC
NPI #1245638808 in Hurlburt Field, Florida
Provider Information
- NPI Number
- 1245638808
- Entity Type
- Individual
- Name
- Shane Reilly, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Dec 15, 2014
- Last Updated
- Dec 15, 2014
Practice Location
- Address
- 100 SERVAIS WAY
- City
- Hurlburt Field
- State
- Florida
- ZIP Code
- 32566
- Phone
- (850) 884-4661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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