Individual
AMANDA KATHERYN SHOCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ATC
Contact information
Practice address
171 KEMPSVILLE RD, BUILDING A, NORFOLK, VA 23502-4700
(757) 668-6550
Mailing address
171 KEMPSVILLE RD, BUILDING A, NORFOLK, VA 23502-4700
(757) 668-6550
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001645
VA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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