NPI 1003429929
Shannon Buckley
Practice location
- Address
- 5655 Dorothy Way, San Diego, CA 92115-2308
- Phone
- (415) 885-9444
- Mailing address
- 200 Santa Paula Ave, San Francisco, CA 94127-1526
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1003429929
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Aug 2020
- Record last updated
- 1 Jun 2022
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.