Tiffany Shadick

NPI #1861883878 in Ripon, Wisconsin

Provider Information

NPI Number
1861883878
Entity Type
Individual
Name
Tiffany Shadick
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Feb 12, 2015
Last Updated
Feb 13, 2015

Practice Location

Address
835 PARKSIDE ST
City
Ripon
ZIP Code
54971-8505
Phone
(920) 748-1673

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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