Individual
TAYLOR SHANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, AT, ATC
Contact information
Practice address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(231) 373-2407
Mailing address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(231) 373-2407
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT989
AR
Other
Enumeration date
01/11/2021
Last updated
09/08/2025
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