NPI 1588371819

Keonna Shadae King, BSLATATC

Practitioner Athletic Trainer Normal, AL

Practice location

Address: 4900 Meridian St NW, Normal, AL 35762-7500
Phone: (256) 372-8457
Mailing address: 710 Julia St NW APT 10, Huntsville, AL 35816-3741

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2530 (AL)

Other Specialist/Technologist providers in Alabama →

Registry record

NPI: 1588371819
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2022
Record last updated: 7 Nov 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.