Shelly Taketa, M.S., ATC
NPI #1295117182 in Moraga, California
Provider Information
- NPI Number
- 1295117182
- Entity Type
- Individual
- Name
- Shelly Taketa, M.S., ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- M.S., ATC
- Enumeration Date
- Jun 26, 2015
- Last Updated
- Jun 26, 2015
Practice Location
- Address
- 1928 SAINT MARYS RD
- City
- Moraga
- State
- California
- ZIP Code
- 94575-2715
- Phone
- (925) 876-7347
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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