Individual
SHANNON PITVOREC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CEAS II
Contact information
Practice address
9513 CLAREMONT AVE NE, ALBUQUERQUE, NM 87112-1341
(904) 327-5005
Mailing address
9513 CLAREMONT AVE NE, ALBUQUERQUE, NM 87112-1341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT681
NM
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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