Individual
BRYAN DAVID SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 SPRINGDALE RD, STOW, OH 44224-2236
(330) 606-8769
Mailing address
4201 SPRINGDALE RD, STOW, OH 44224-2236
(330) 606-8769
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3363
MA
Other
Enumeration date
08/28/2016
Last updated
08/04/2019
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