Individual
MS. SHERI MARIE SQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2301 FORT BRAGG RD, FAYETTEVILLE, NC 28303-7035
(910) 484-1151
Mailing address
2301 FORT BRAGG RD, FAYETTEVILLE, NC 28303-7035
(910) 484-1151
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0379
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
NATIONAL ATHLETIC TRAINER'S ASSOCIATION
NC
Enumeration date
06/14/2014
Last updated
06/14/2014
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