Individual
SHAY HANNIGAN-LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
WASHINGTON STATE UNIVERSITY ATHLETICS, BOHLER ATHLETIC COMPLEX M4, PULLMAN, WA 99163
(208) 771-3541
Mailing address
823 E BANCROFT AVE, COEUR D ALENE, ID 83814-3926
(208) 771-3541
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161201393
WA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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