Individual
MR. ANDREW BRETT SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8227 NORTHWEST BLVD STE 160, INDIANAPOLIS, IN 46278-1386
(317) 415-5747
Mailing address
1009 FROGS LEAP, CICERO, IN 46034-9136
(765) 210-0673
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001038A
IN
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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