Amethyst Shepherd

Athletic Trainer · Olympia, WA

Individual Active NPI

NPI number 1548645963

Practice location

6120 Mullen Rd SE
Olympia, WA 98503-7147
Phone
(443) 254-1149

Open in Google Maps

NPI record

NPI
1548645963
Entity type
Individual (Type 1)
Enumeration date
July 27, 2015
Last updated
July 27, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT-485 ID

Mailing address

1060 Central St SE
Olympia, WA 98501-1763
Phone
(443) 254-1149

About Amethyst Shepherd

Amethyst Shepherd is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 6120 Mullen Rd SE, Olympia, WA 98503-7147. The NPI number 1548645963 was assigned on July 27, 2015 and the record was last updated on July 27, 2015.

Amethyst Shepherd lists a license in the registry: #AT-485 (ID) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amethyst Shepherd?

The NPI number is 1548645963.

What is the phone number of Amethyst Shepherd?

The phone number listed for the practice location is (443) 254-1149.

Where is Amethyst Shepherd located?

6120 Mullen Rd SE, Olympia, WA 98503-7147.

What is the taxonomy code for Amethyst Shepherd?

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.

Other Athletic Trainer providers in Olympia

All Athletic Trainer providers in Olympia, WA →