Individual
SHANNON MICHELLE FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
208 EDGEMONT BLVD, ALAMOSA, CO 81101-2320
(719) 587-7011
Mailing address
42931 SAXONY RD, CANTON, MI 48187-2337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001767
CO
Other
Enumeration date
03/13/2015
Last updated
02/15/2018
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