Shannon Nicole Kaye Ortiz, ATC
NPI #1497614168 in Rapid River, Michigan
Provider Information
- NPI Number
- 1497614168
- Entity Type
- Individual
- Name
- Shannon Nicole Kaye Ortiz, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jan 19, 2026
- Last Updated
- Jan 19, 2026
Practice Location
- Address
- 10020 S.75 RD
- City
- Rapid River
- State
- Michigan
- ZIP Code
- 49878-9307
- Phone
- (906) 399-0774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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