Individual
ALLISON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1701 CANTRELL RD, LITTLE ROCK, AR 72201-1111
(501) 372-1194
Mailing address
209 CHEROKEE CIR, LITTLE ROCK, AR 72205-4818
(501) 428-3971
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2018
Last updated
12/16/2019
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