NPI 1063189785

Shay Hannigan-Luther, ATC

Practitioner Athletic Trainer Pullman, WA

Practice location

Address: Washington State University Athletics Bohler Athletic Complex M4, Pullman, WA 99163
Phone: (208) 771-3541
Mailing address: 823 E Bancroft Ave, Coeur D Alene, ID 83814-3926

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence A161201393 (WA)

Other Specialist/Technologist providers in Washington →

Registry record

NPI: 1063189785
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2021
Record last updated: 30 Aug 2021

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.