Individual
NATHAN SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 1ST AVE NW STE 101, HICKORY, NC 28601-6169
(828) 322-6979
Mailing address
315 1ST AVE NW STE 101, HICKORY, NC 28601-6169
(828) 322-6979
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
NC
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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