Individual
MR. SHAWN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LATC, CSCS
Contact information
Practice address
163 VAN BUREN RD, CARIBOU, ME 04736-3567
(207) 498-1618
Mailing address
PO BOX 1093, CARIBOU, ME 04736-1093
(207) 227-6020
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT265
ME
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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