Individual
SHANNON HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
125 DECATUR ST SE, ATLANTA, GA 30303-3201
(404) 413-4069
Mailing address
2151 CUMBERLAND PKWY SE APT 915, ATLANTA, GA 30339-4599
(443) 220-8881
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003047
GA
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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