Individual
JAYSON DANIEL SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
116 W SOUTH ST, WARRENSBURG, MO 64093-2324
(660) 543-4111
(660) 543-8551
Mailing address
116 W SOUTH ST, WARRENSBURG, MO 64093-2324
(660) 543-4111
(660) 543-8551
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
088245
IA
Other
Enumeration date
10/12/2017
Last updated
05/10/2023
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