Individual
MR. SHANE PATRICK MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1117 11TH AVE APT 6, GREELEY, CO 80631-3800
(262) 325-9284
Mailing address
1117 11TH AVE APT 6, GREELEY, CO 80631-3800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000017543
WI
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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