Individual
MRS. SHANNON MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(765) 437-5840
Mailing address
517 CLEAR CREEK DR, DANVILLE, IN 46122-9006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001839A
IN
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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