Shawnda Lucia Ebert, LAT, ATC

Athletic Trainer · Richmond, KY

Individual Active NPI

NPI number 1679826564

Practice location

171 N Keeneland Dr
Richmond, KY 40475-8687
Phone
(859) 797-1757

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NPI record

NPI
1679826564
Entity type
Individual (Type 1)
Enumeration date
October 17, 2012
Last updated
August 26, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT750 KY
Athletic Trainer 2255A2300X — KY

About Shawnda Ebert

Shawnda Lucia Ebert, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 171 N Keeneland Dr, Richmond, KY 40475-8687. The NPI number 1679826564 was assigned on October 17, 2012 and the record was last updated on August 26, 2019.

Shawnda Ebert lists a license in the registry: #AT750 (KY) 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 Shawnda Lucia Ebert, LAT, ATC?

The NPI number is 1679826564.

What is the phone number of Shawnda Ebert?

The phone number listed for the practice location is (859) 797-1757.

Where is Shawnda Ebert located?

171 N Keeneland Dr, Richmond, KY 40475-8687.

What is the taxonomy code for Shawnda Ebert?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

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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