NPI 1518318393

Shandi Lyn Partner

Practitioner Athletic Trainer Chantilly, VA

Practice location

Address: 4700 Stonecroft Blvd, Chantilly, VA 20151-1716
Phone: (571) 585-7399
Fax: (703) 488-6405

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126001684 (VA)

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Registry record

NPI: 1518318393
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jun 2016
Record last updated: 23 Jun 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.