Individual
AYUMI SHIMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
5795 LEWISTON RD, NIAGARA UNIVERSITY ATHLETICS, NIAGARA UNIVERSITY, NY 14109
(716) 286-8622
(716) 286-8656
Mailing address
4875 W EDDY DR APT 218, LEWISTON, NY 14092-2309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001970-1
NY
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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