Individual
SHANNON MICHELLE MCGINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
8227 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1387
(317) 388-7890
Mailing address
3625 PERIWINKLE WAY, INDIANAPOLIS, IN 46220-5499
(317) 388-7890
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001228A
IN
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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