Individual
AMIEE SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0001
(619) 594-5200
Mailing address
2543 OLD QUARRY RD APT 1822, SAN DIEGO, CA 92108-2777
(520) 665-1006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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