Individual
ELISSA LYNN CAMPAGNA-SHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATHLETIC TRAINER
Contact information
Practice address
4515 COSGRAY RD, HILLIARD, OH 43026-7787
(614) 334-9622
Mailing address
118 W 1ST ST STE 300, DAYTON, OH 45402-1111
(937) 223-5201
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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