NPI 1063956647

John Shifflett, LATATC

Practitioner Athletic Trainer Radford, VA

Practice location

Address: 101 University Drive, Radford, VA 24141-6913
Phone: (540) 831-6128
Mailing address: PO Box 6913, Radford, VA 24142-6913

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126001271 (VA)

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1063956647
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2016
Record last updated: 15 Dec 2016

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.