Michael Richard Shampo, LAT, ATC

NPI #1710718291 in Marinette, Wisconsin

Provider Information

NPI Number
1710718291
Entity Type
Individual
Name
Michael Richard Shampo, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Aug 8, 2024
Last Updated
Aug 8, 2024

Practice Location

Address
2135 PIERCE AVE
ZIP Code
54143-3947
Phone
(715) 735-1300

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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