Individual
ZACHARY GORDON SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
125 ROUTE 340, SPARKILL, NY 10976-1041
(651) 564-2194
Mailing address
125 ROUTE 340, SPARKILL, NY 10976-1041
(651) 564-2194
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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