Sally Susan Egan, ATC, LAT, CSCS

Athletic Trainer · Shawano, WI

Individual Active NPI

NPI number 1609919182

Practice location

100 CTY Rd B
Therapy Services
Shawano, WI 54166-7072
Phone
(715) 526-2111

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NPI record

NPI
1609919182
Entity type
Individual (Type 1)
Enumeration date
February 15, 2007
Last updated
October 4, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

Mailing address

W12529 Zimdars Rd
Leopolis, WI 54948-9732
Phone
(715) 853-3565

About Sally Egan

Sally Susan Egan, ATC, LAT, CSCS is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 100 CTY Rd B, Therapy Services, Shawano, WI 54166-7072. The NPI number 1609919182 was assigned on February 15, 2007 and the record was last updated on October 4, 2015.

Frequently asked questions

What is the NPI number of Sally Susan Egan, ATC, LAT, CSCS?

The NPI number is 1609919182.

What is the phone number of Sally Egan?

The phone number listed for the practice location is (715) 526-2111.

Where is Sally Egan located?

100 CTY Rd B, Therapy Services, Shawano, WI 54166-7072.

What is the taxonomy code for Sally Egan?

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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