Individual
SHELBY SANGSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
315 IGNACIO STREET, IGNACIO, CO 81137
(970) 563-0500
Mailing address
327 S CAMINO DEL RIO, DURANGO, CO 81303-7997
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000033283
CO
2255A2300X
Athletic Trainer
Primary
AT.0001915
CO
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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