Individual
CHRISTINA MARIE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAT, ATC
Contact information
Practice address
2200 BONFORTE BLVD, PUEBLO, CO 81001-4901
(719) 549-2234
Mailing address
2200 BONFORTE BLVD, PUEBLO, CO 81001-4901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001900
CO
Other
Enumeration date
08/06/2019
Last updated
12/09/2019
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