Nicholas Cody Shaw, ATC
NPI #1336800150 in Pelahatchie, Mississippi
Provider Information
- NPI Number
- 1336800150
- Entity Type
- Individual
- Name
- Nicholas Cody Shaw, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jan 4, 2022
- Last Updated
- Jan 4, 2022
Practice Location
- Address
- 201 SOUTH BROOKS AVENUE
- City
- Pelahatchie
- State
- Mississippi
- ZIP Code
- 39145
- Phone
- (601) 759-5006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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