Individual
MISS SHELBY WYNETTE YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2300 ADAMS AVE, SCRANTON, PA 18509-1514
(570) 348-6211
(570) 961-4730
Mailing address
16 FREDERICK CT, ASHLEY, PA 18706-2302
(570) 239-9363
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001128A
PA
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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