Shannon Koski

NPI #1659807808 in Iron River, Michigan

Provider Information

NPI Number: 1659807808
Entity Type: Individual
Name: Shannon Koski
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 10, 2017
Last Updated: May 10, 2017

Practice Location

Address: 1800 N VERONA AVE
City: Iron River
State: Michigan
ZIP Code: 49935
Phone: (906) 284-1916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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