Individual
SHAWN SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3476 OLIVER AVE, INDIANAPOLIS, IN 46241-1610
(219) 363-1546
Mailing address
3476 OLIVER AVE, INDIANAPOLIS, IN 46241-1610
(219) 363-1546
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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