Shane Rose

Athletic Trainer · Southampton, PA

Individual Active NPI

NPI number 1073156071

Practice location

1241 Valley Hill Trl
Southampton, PA 18966-4613
Phone
(215) 512-7673

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NPI record

NPI
1073156071
Entity type
Individual (Type 1)
Enumeration date
October 22, 2019
Last updated
October 22, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

About Shane Rose

Shane Rose is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1241 Valley Hill Trl, Southampton, PA 18966-4613. The NPI number 1073156071 was assigned on October 22, 2019 and the record was last updated on October 22, 2019.

Frequently asked questions

What is the NPI number of Shane Rose?

The NPI number is 1073156071.

What is the phone number of Shane Rose?

The phone number listed for the practice location is (215) 512-7673.

Where is Shane Rose located?

1241 Valley Hill Trl, Southampton, PA 18966-4613.

What is the taxonomy code for Shane Rose?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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