Individual
NATHAN CHRISTOPHER SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COLLEGE HILL, CANTON, MO 63435
(636) 297-4278
Mailing address
26979 SUMMER WIND DR, WARRENTON, MO 63383-6226
(636) 297-4278
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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