Derek S Shaffer is a Athletic Trainer in Cabot, Arkansas. Derek S Shaffer practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Derek S Shaffer is 1023235439. The last update date is 2007-07-08.
Derek S Shaffer's current location address is 1055 Highland Blvd, Cabot, Arkansas. You can contact this provider via phone number 5014123717. The mailing address for Derek S Shaffer is 1055 Highland Blvd, Cabot, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek S Shaffer |
|---|---|
| Address | 1055 Highland Blvd, Cabot, Arkansas |
| Phone Number | 5014123717 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATC,LAT |
NPI Number Detail
| NPI Number | 1023235439 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1055 Highland Blvd |
|---|---|
| City | Cabot |
| State | Arkansas (AR) |
| Post Code | 720236001 |
| Phone Number | 5014123717 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT370 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identifier code issued to Derek S Shaffer by the Centers for Medicare & Medicaid Services?
The Derek S Shaffer has been assigned the NPI (National Provider Identifier) 1023235439 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Derek S Shaffer's physical address?
The Derek S Shaffer is physically located at 1055 Highland Blvd, in the city of Cabot, AR, with the postal code 720236001.
What is Derek S Shaffer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Derek S Shaffer's specialized field of practice is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of specialization is 2255A2300X.
On what date did the Derek S Shaffer receive the assignment of its 1023235439 from the Centers for Medicare & Medicaid Services?
The Derek S Shaffer was issued its 1023235439 by the Centers for Medicare & Medicaid Services on 2007-04-19.
As of what date were the details pertaining to Derek S Shaffer last refreshed?
The information related to the Derek S Shaffer, including its address, specialty, and other relevant details, was last updated on 2007-07-08.