Individual
DR. SHANNON M WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
336 DUNN HALL, ORONO, ME 04469-2210
(207) 581-1865
Mailing address
1180 STATE GYM, AMES, IA 50011-2210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
074481
IA
2255A2300X
Athletic Trainer
Primary
AT865
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200017536
BOARD OF CERTIFICATION
—
Enumeration date
10/29/2014
Last updated
03/23/2023
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