NPI 1023235439

Derek S Shaffer, ATCLAT

Practitioner Athletic Trainer Cabot, AR

Practice location

Address: 1055 Highland Blvd, Cabot, AR 72023-6001
Phone: (501) 412-3717

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT370 (AR)

Other Specialist/Technologist providers in Arkansas →

Registry record

NPI: 1023235439
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2007
Record last updated: 8 Jul 2007

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.