Individual
MR. SHAWN MICHAEL FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ATC
Contact information
Practice address
2660 W MARKET ST, SUITE 300, FAIRLAWN, OH 44333-4208
(330) 869-2635
Mailing address
2660 W MARKET ST, SUITE 300, FAIRLAWN, OH 44333-4208
(330) 869-2635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-001585
OH
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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