Individual
DEVIN MICHAEL SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2015 NASH DR, DES MOINES, IA 50314-2050
(515) 210-0822
Mailing address
2015 NASH DR, DES MOINES, IA 50314-2050
(515) 210-0822
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003784
IL
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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