Individual
SEAN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
721 BRYAN DR, DAYTON, TN 37321-6275
(423) 775-7254
Mailing address
1011 GADD RD APT 107, HIXSON, TN 37343-5107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2093
TN
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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