Individual
MR. SHANNON PATRICK PEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
JACOBSON ATHLETIC BUILDING, 1800 SOUTH 4TH STREET, AMES, IA 50011-0001
(515) 294-7029
(515) 294-6554
Mailing address
JACOBSON ATHLETIC BUILDING, 1800 SOUTH 4TH STREET, AMES, IA 50011-0001
(515) 294-7029
(515) 294-6554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00124
IA
Other
Enumeration date
10/02/2006
Last updated
03/02/2020
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