Individual provider · NPI-1

Michael Thomas Sheridan, ATC

Specialist/Technologist, Athletic Trainer · Stanford, CA

NPI number1124564349
StatusActive
Last updated in NPPESJan 11, 2017

Details

NPI
1124564349
Entity type
Individual (NPI-1)
Name
Mr. Michael Thomas Sheridan
Credential
ATC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 11, 2017
Last updated
Jan 11, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

641 East Campus Drive
Stanford, CA 94305-6201

Phone 650-723-1214

Mailing address

642 San Patricio Ave
Sunnyvale, CA 94085-3413

Phone 413-386-5112

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist/Technologist, Athletic Trainer providers in Stanford, CA