Individual
SHANE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, MS, LAT
Contact information
Practice address
4715 WHITESBURG DR S, HUNTSVILLE, AL 35802-1632
(256) 881-5151
Mailing address
807 VESTAVIA PL SE, HUNTSVILLE, AL 35802-2507
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
222
AL
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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