Andrea Shanell Ittner, ATC

NPI #1326578584 in Bentonville, Arkansas

Provider Information

NPI Number
1326578584
Entity Type
Individual
Name
Andrea Shanell Ittner, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Jun 19, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
1912 SW ASPEN ST
ZIP Code
72712-7754
Phone
(918) 406-8170

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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