NPI 1427461706

Shane Winkenwader, ATC

Practitioner Athletic Trainer West Fargo, ND

Practice location

Address: 628 23rd St E APT B, West Fargo, ND 58078-2396
Phone: (701) 355-6483

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in North Dakota →

Registry record

NPI: 1427461706
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2014
Record last updated: 4 Jun 2014

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.