Amanda Shadle

Athletic Trainer · Williamsport, PA

Individual Active NPI

NPI number 1881193217

Practice location

1201 Grampian Blvd
Williamsport, PA 17701-1900
Phone
(570) 321-2020
Fax
(570) 320-7599

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NPI record

NPI
1881193217
Entity type
Individual (Type 1)
Enumeration date
February 12, 2018
Last updated
February 12, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X RTO000318 PA

About Amanda Shadle

Amanda Shadle is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1201 Grampian Blvd, Williamsport, PA 17701-1900. The NPI number 1881193217 was assigned on February 12, 2018 and the record was last updated on February 12, 2018.

Amanda Shadle lists a license in the registry: #RTO000318 (PA) 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 Amanda Shadle?

The NPI number is 1881193217.

What is the phone number of Amanda Shadle?

The phone number listed for the practice location is (570) 321-2020.

Where is Amanda Shadle located?

1201 Grampian Blvd, Williamsport, PA 17701-1900.

What is the taxonomy code for Amanda Shadle?

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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