Sara Shively, ATC

NPI #1982083309 in Norfolk, Nebraska

Provider Information

NPI Number: 1982083309
Entity Type: Individual
Name: Sara Shively, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Health Educator
Credential: ATC
Enumeration Date: May 19, 2015
Last Updated: May 19, 2015

Practice Location

Address: 1222 W PROSPECT AVE
City: Norfolk
State: Nebraska
ZIP Code: 68701-3705
Phone: (308) 940-1506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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