Shannon Bashor, ATC
NPI #1962908608 in Whitewater, Wisconsin
Provider Information
- NPI Number
- 1962908608
- Entity Type
- Individual
- Name
- Shannon Bashor, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Apr 2, 2018
- Last Updated
- Apr 2, 2018
Practice Location
- Address
- 907 W SCHWAGER DR
- City
- Whitewater
- State
- Wisconsin
- ZIP Code
- 53190
- Phone
- (262) 472-1581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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