SHANE CHRISTOPHER NELSON ATC
Individual Provider (NPI-1)
Active
Specialist/Technologist, Athletic Trainer
Provider Information
- NPI Number
1114352358- Provider Type
- Individual Provider (NPI-1)
- Credentials
- ATC
- Status
- Active
Contact & Location
- Address
- 5600 W GLENWOOD ST, GARDEN CITY, ID, 83714
- Phone
- (319) 325-4177
Specialties & Taxonomies
Specialist/Technologist, Athletic Trainer
Primary License: ID #AT-702
All Addresses
MAILING
520 S EAGLE RD
MERIDIAN, ID, 836426351