Shannon Mortimer, LAT, C
NPI #1487043881 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1487043881
- Entity Type
- Individual
- Name
- Shannon Mortimer, LAT, C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, C
- Enumeration Date
- Jan 22, 2015
- Last Updated
- Jan 22, 2015
Practice Location
- Address
- 9634 W ROSEDALE AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-3332
- Phone
- (920) 418-0460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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