Individual
JORDAN SHANGREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
2200 S ROOSEVELT ST, ABERDEEN, SD 57401
(605) 280-4697
Mailing address
1736 S 2ND ST, ABERDEEN, SD 57401-7416
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0472
SD
Other
Enumeration date
03/06/2017
Last updated
12/20/2019
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