# ATHLETIC EVOLUTION STRENGTH AND CONDITIONING, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538987953
- **Authorized official:** SHANNON WALTON (CLINICAL MANAGER AND COMPLIANCE)
- **Authorized official phone:** (781) 935-7701

## Contact information

- **Practice address:** 800 W CUMMINGS PARK STE 1400, WOBURN, MA 01801-6374
- **Practice address phone:** (781) 935-7701
- **Mailing address:** 800 W CUMMINGS PARK STE 1400, WOBURN, MA 01801-6374
- **Mailing address phone:** (781) 935-7701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2024
- **Last updated:** 08/07/2025