MEDICARE: SHAWN WILLIAM EDGERLY MS, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225500000X	Respiratory/Developmental/Rehabilitative Specialist/Technologist
2	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1003837691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWN WILLIAM EDGERLY MS, ATC

Provider Business Mailing Address
First Line	:	3523 W PROVIDENCE AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-2160
Country	:	US
Telephone Number	:	509-869-8048
Fax Number	:

Provider Business Practice Location Address
First Line	:	9107 N COUNTRY HOMES BLVD STE 13
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-2070
Country	:	US
Telephone Number	:	509-838-2531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1023044187 — HYUNG UK PARK M.D.
Practice Location Address:

9631 N NEVADA ST STE 300
SPOKANE, WA
99218-1193

Practice Phone: 509-465-3919
Practice Fax:

1932778685 — JULIE ANN LUNA PT, DPT, NCS
Practice Location Address:

513 E HASTINGS RD STE B
SPOKANE, WA
99218-1963

Practice Phone: 509-570-6761
Practice Fax:

1508617317 — SPOKANE EYE CLINIC PS
Practice Location Address:

9651 N NEVADA ST
SPOKANE, WA
99218-1132

Practice Phone: 509-456-0107
Practice Fax: 509-747-2635

1841761665 — MS. VANESSA LEE RICHARDSON LMHC
Practice Location Address:

9507 N DIVISION ST STE M2
SPOKANE, WA
99218-1248

Practice Phone: 509-217-7880
Practice Fax:

1699632414 — SOUND PAIN ALLIANCE
Practice Location Address:

9715 N NEVADA ST
SPOKANE, WA
99218-3412

Practice Phone: 801-903-1122
Practice Fax:

1528925369 — MISS XENIA MARIJA VINCENT LMT
Practice Location Address:

101 E HASTINGS RD
SPOKANE, WA
99218-4901

Practice Phone: 509-340-3303
Practice Fax:

Directions to “ SHAWN WILLIAM EDGERLY MS, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.