Shelley Croom Blakey, MEd, ATC
Specialist/Technologist, Athletic Trainer in Charlottesville, VA. Individual provider (NPI-1).
NPI number1730363797
StatusActive
Last updated in NPPESDec 26, 2007
Details
- NPI
- 1730363797
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shelley Croom Blakey
- Credential
- MEd, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2007
- Last updated
- Dec 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0126000282 | VA | Yes |
Practice location
112 Massie RoadCharlottesville, VA 22904-9202
Phone 434-243-2419
Mailing address
1025 Highlands DrCharlottesville, VA 22901-9202
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