Shane Levenson
NPI #1740658541 in Stennis Space Center, Mississippi
Provider Information
- NPI Number
- 1740658541
- Entity Type
- Individual
- Name
- Shane Levenson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Sep 10, 2015
- Last Updated
- Sep 10, 2015
Practice Location
- Address
- 2603 LOWER GAINESVILLE RD
- State
- Mississippi
- ZIP Code
- 39529-7099
- Phone
- (228) 813-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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