Individual provider · NPI-1

Shayla Anderson

Specialist/Technologist, Athletic Trainer · Louisville, KY

NPI number1235952813
StatusActive
Last updated in NPPESNov 4, 2024

Details

NPI
1235952813
Entity type
Individual (NPI-1)
Name
Shayla Anderson
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 4, 2024
Certification date
Nov 4, 2024
Last updated
Nov 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer730037MNYes

Practice location

805 N Whittington Pkwy
Louisville, KY 40222-7101

Phone 502-627-7000

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101

Phone 502-627-7000

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