Kellen Shervington, A.T.C., L.A.T Valid NPI

Individual provider · Athletic Trainer · Waleska, GA

NPI

1326456989

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

AT002200 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2014-07-28

Last updated

2014-07-28