Individual
GARRETT KENWORTHY SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1811 W ROYALE DR APT 3B, MUNCIE, IN 47304-2279
(765) 238-8011
Mailing address
1811 W ROYALE DR APT 3B, MUNCIE, IN 47304-2279
(765) 238-8011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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