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NPI Code Detail

MEDICARE: SHAWN PAUL ALLENDER A.T.,C.

MEDICARE: SHAWN PAUL ALLENDER A.T.,C.
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
12255A2300XAthletic Trainer0000000175TN

General Provider Information

NPI Number : 1407958416
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN PAUL ALLENDER A.T.,C.
Provider Business Mailing Address
First Line : 211 BEDFORD WAY
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-5527
Country : US
Telephone Number : 615-591-8480
Fax Number :
Provider Business Practice Location Address
First Line : 211 BEDFORD WAY
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-5527
Country : US
Telephone Number : 615-591-8480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 07/08/2007

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Directions to “ SHAWN PAUL ALLENDER A.T.,C.” Practice Location

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