Individual
SHANNON HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10004 4TH ST, HIGHLAND, IN 46322-3408
(219) 680-0273
Mailing address
10004 4TH ST, HIGHLAND, IN 46322-3408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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