Individual
SHANE DOUGLAS STECYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
18111 NORDHOFF ST, DEPARTMENT OF KINESIOLOGY, NORTHRIDGE, CA 91330-8287
(818) 677-4738
(818) 677-3207
Mailing address
210 N BELMONT ST, # 208, GLENDALE, CA 91206-4953
(818) 291-1926
(818) 677-3207
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/17/2007
Last updated
07/08/2007
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