NPI 1093494080

Tracie Lynn Shaw, ATCLAT

Practitioner Athletic Trainer Washington, DC

Practice location

Address: 3612 Woodley Rd NW, Washington, DC 20016-5033
Phone: (202) 537-5789

Registered specialties (3)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence A00543 (MD)

Other Specialist/Technologist providers in District of Columbia →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126001356 (VA)

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT9216 (TX)

Registry record

NPI: 1093494080
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2023
Record last updated: 17 Jul 2023

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.