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NPI Code Detail

MEDICARE: SHANNON MARIE GIER MS, ATC

MEDICARE: SHANNON MARIE GIER 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
12255A2300XAthletic Trainer194NE

General Provider Information

NPI Number : 1760981211
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON MARIE GIER MS, ATC
Provider Business Mailing Address
First Line : 13412 S 31ST CIR
Second Line :
City : BELLEVUE
State : NE
Zip : 68123-2321
Country : US
Telephone Number : 402-490-2010
Fax Number :
Provider Business Practice Location Address
First Line : 1501 THURSTON AVE
Second Line :
City : BELLEVUE
State : NE
Zip : 68123-2498
Country : US
Telephone Number : 402-293-4087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2018
Last Update Date : 02/09/2018

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