Shawn Fayard, ATC Valid NPI

Individual provider · Athletic Trainer · Hattiesburg, MS

NPI

1689908352

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

AT0472 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-09-28

Last updated

2020-10-20