NPI 1326578584

Andrea Shanell Ittner, ATC

Practitioner Athletic Trainer Bentonville, AR

Practice location

Address: 1912 SW Aspen St, Bentonville, AR 72712-7754
Phone: (918) 406-8170

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 539 (AR)

Other Specialist/Technologist providers in Arkansas →

Registry record

NPI: 1326578584
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2017
Record last updated: 21 Jul 2022

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.