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SHANNON BRACY ATC, CSCS

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1639556954

Individual Registrant:
 SHANNON  BRACY ATC, CSCS
Gender: F
Sole Proprietor

Location and contact information for practice:
21250 STEVENS CREEK BLVD  CUPERTINO, CA 95014-5702 US
Tel: 408-864-8746  Fax: 408-864-5686

Contact information for business:
21250 STEVENS CREEK BLVD  CUPERTINO, CA 95014-5702 US
Tel: 408-864-8746  Fax: 408-864-5686

Registration Information:
NPI: 1639556954
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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