NPI 1003170085

Justin Scott Shipp, ATCCSCS

Practitioner Athletic Trainer Little Rock, AR

Practice location

Address: 5 Saint Vincent Cir, Little Rock, AR 72205-5412
Phone: (501) 259-2149

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT 413 (AR)

Other Specialist/Technologist providers in Arkansas →

Registry record

NPI: 1003170085
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jun 2012
Record last updated: 25 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.