Individual
MR. NED SHANNON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT ATC
Contact information
Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(317) 788-6112
(317) 788-3472
Mailing address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(317) 788-6112
(317) 788-3472
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000055A
IN
Other
Enumeration date
09/09/2005
Last updated
07/08/2007
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