Active NPIIndividual provider

Shannah Dalton, ATC

Specialist/Technologist, Athletic Trainer in Worcester, Massachusetts

NPI Number1336769140
Practice location
100 Institute RD, Worcester, MA 01609-2280
Fax
—
Last updated
April 22, 2020

Shannah Dalton is a Specialist/Technologist, Athletic Trainer based in Worcester, MA. Shannah Dalton practices in Worcester, MA and has the professional credentials of ATC. The NPI Number for Shannah Dalton is 1336769140 and holds a License No. 2670 (MA). The current practice location address for Shannah Dalton is 100 Institute RD, Worcester, MA 01609-2280 and can be reached out via phone at 085-831-6711.

Provider Profile Details

NPI Number
1336769140
Provider Name
Shannah Dalton
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
100 Institute RD, Worcester, MA 01609-2280
Phone Number
085-831-6711
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
April 22, 2020
Last Update Date
April 22, 2020
Certification Date
April 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Institute RD
Worcester, MA 01609-2280
Zip
01609-2280
Phone Number
085-831-6711
Worcester, MA 01609Get directions →

Provider Business Mailing Address Details

Address
129 Murdock St
Brighton, MA 02135-2309
City
Brighton
State
MA
Zip
02135-2309
Phone Number
770-265-8649

License Information

License Number
2670
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannah Dalton, ATC?

The NPI number of Shannah Dalton, ATC is 1336769140. It was assigned on April 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Shannah Dalton, ATC?

Shannah Dalton, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2670.

Where does Shannah Dalton, ATC practice?

The practice location is 100 Institute RD, Worcester, MA 01609-2280. The office can be reached at 085-831-6711 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336769140 directly on the NPPES registry website.

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