Individual
SHANNA MASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
14801 S 108TH ST, SPRINGFIELD, NE 68059-4925
(402) 339-3606
Mailing address
14801 S 108TH ST, SPRINGFIELD, NE 68059-4925
(402) 339-3606
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
566
NE
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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