Individual
MEGAN M SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
635 W PROSPECT ST APT 1, WATERTOWN, NY 13601-2494
(315) 286-0392
Mailing address
635 W PROSPECT ST APT 1, WATERTOWN, NY 13601-2494
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002390
NY
Other
Enumeration date
05/29/2017
Last updated
05/29/2017
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