Shantelle Willingham
Specialist/Technologist, Athletic Trainer in Anderson, SC. Individual provider (NPI-1).
NPI number1801596754
StatusActive
Last updated in NPPESMar 8, 2023
Details
- NPI
- 1801596754
- Entity type
- Individual (NPI-1)
- Name
- Shantelle Willingham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2023
- Certification date
- Mar 8, 2023
- Last updated
- Mar 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
122c New Prospect Church RoadAnderson, SC 29625
Phone 864-276-7456
Mailing address
122c New Prospect Church RoadAnderson, SC 29625
Phone 864-276-7456
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