Individual
JEREMY M SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1993 SILVER KNIGHT DR, SISTERSVILLE, WV 26175-9600
(304) 758-9000
Mailing address
1993 SILVER KNIGHT DR, SISTERSVILLE, WV 26175-9600
(304) 758-9000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001038
WV
Other
Enumeration date
06/03/2009
Last updated
10/16/2024
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