Shannon Burke, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in Fort Riley, KS. Individual provider (NPI-1).
NPI number1235513334
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1235513334
- Entity type
- Individual (NPI-1)
- Name
- Shannon Burke
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2015
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 24-01517 | KS | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096.003839 | IL |
Practice location
650 Huebner RdFort Riley, KS 66442-4030
Phone 847-924-8887
Mailing address
923 Meadow LnJunction City, KS 66441-3435
Phone 847-924-8887
Other practice locations
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All 12 Athletic Trainer providers in Fort Riley · All 526 providers in Fort Riley
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