National Provider Identifier
Amanda Shaw, ATC
Amanda Shaw, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Avon, NY and a listed phone number of (716) 560-0169.
Profile Overview
- NPI
- 1538732755
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- July 24, 2021
- Last Updated
- July 24, 2021
Practice Location
- 5568 East Avon Road
- Avon, NY 14414
Phone: (716) 560-0169
Mailing Address
- 1791 Route 238
- Warsaw, NY 14569-9587
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1538732755
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Amanda
- Credential
- ATC
- Mailing Street Address
- 1791 Route 238
- Mailing City
- Warsaw
- Mailing State
- NY
- Mailing ZIP Code
- 14569-9587
- Mailing Country
- US
- Practice Street Address
- 5568 East Avon Road
- Practice City
- Avon
- Practice State
- NY
- Practice ZIP Code
- 14414
- Practice Country
- US
- Practice Phone
- (716) 560-0169
- Enumeration Date
- July 24, 2021
- Last Updated
- July 24, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)