Individual
MS. MIMSLYN K. SHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4605 SAWMILL RD, UPPER ARLINGTON, OH 43220-2246
(614) 827-8666
(614) 827-7106
Mailing address
7330 CIMMARON STA, COLUMBUS, OH 43235-4235
(614) 791-9086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 002484
OH
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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