Individual
SHANELLE LEE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9031 MENTOR AVE, MENTOR, OH 44060-6463
(440) 255-1315
(440) 255-5832
Mailing address
6374 BROOKS BLVD, MENTOR, OH 44060-3622
(702) 286-6636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 002950
OH
Other
Enumeration date
07/20/2006
Last updated
02/01/2008
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