NPI 1043465446

Shawn C Dumers, ATC

Practitioner Athletic Trainer Jefferson City, MO

Practice location

Address: 4704 Woods Xing, Jefferson City, MO 65109-6221
Phone: (660) 580-0038
Mailing address: 4704 Woods Crossing, Jeffeson City, MO 65109

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2007036376 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1043465446
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Nov 2008
Record last updated: 26 Nov 2008

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.