Individual
MRS. SHAWNDA LUCIA EBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
171 N KEENELAND DR, RICHMOND, KY 40475-8687
(859) 797-1757
Mailing address
171 N KEENELAND DR, RICHMOND, KY 40475-8687
(859) 797-1757
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT750
KY
2255A2300X
Athletic Trainer
—
KY
Other
Enumeration date
10/17/2012
Last updated
08/26/2019
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