Bethany Alta Shaw in Milwaukee - Athletic Trainer
Bethany Alta Shaw - NPI 1225003684
Bethany Alta Shaw is a Athletic Trainer in Milwaukee, Wisconsin. Bethany Alta Shaw practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Bethany Alta Shaw is 1225003684. The last update date is 2007-07-08.
Bethany Alta Shaw's current location address is 2025 E Newport Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4149614666. The mailing address for Bethany Alta Shaw is 2025 E Newport Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bethany Alta Shaw |
|---|---|
| Address | 2025 E Newport Ave, Milwaukee, Wisconsin |
| Phone Number | 4149614666 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ATC, LAT |
NPI Number Detail
| NPI Number | 1225003684 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2025 E Newport Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532112906 |
| Phone Number | 4149614666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 693-039 |
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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 identifier code issued to Bethany Alta Shaw by the Centers for Medicare & Medicaid Services?
The Bethany Alta Shaw has been assigned the NPI (National Provider Identifier) 1225003684. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bethany Alta Shaw located?
The Bethany Alta Shaw is located at 2025 E Newport Ave, Milwaukee, WI 532112906.
What is Bethany Alta Shaw's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bethany Alta Shaw's area of specialization is Athletic Trainer, and the corresponding taxonomy code that categorizes this field of practice is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1225003684 to Bethany Alta Shaw?
The Bethany Alta Shaw received its 1225003684 assignment from the Centers for Medicare & Medicaid Services on 2006-02-21.
When was the information pertaining to Bethany Alta Shaw most recently updated or revised?
The details related to Bethany Alta Shaw, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.