National Provider Identifier

Ayumi Shimada, MA, ATC

Ayumi Shimada, MA, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Niagara University, NY and a listed phone number of (716) 286-8622.

NPI 1952726168Niagara University, NYAthletic Trainer

Profile Overview

NPI
1952726168
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
February 25, 2014
Last Updated
February 25, 2014

Practice Location

  • 5795 Lewiston RD
  • Niagara University Athletics
  • Niagara University, NY 14109

Phone: (716) 286-8622

Mailing Address

  • 4875 W Eddy Dr Apt 218
  • Lewiston, NY 14092-2309

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1952726168
Entity Type
Individual
Last Name
Shimada
First Name
Ayumi
Credential
MA, ATC
Mailing Street Address
4875 W Eddy Dr Apt 218
Mailing City
Lewiston
Mailing State
NY
Mailing ZIP Code
14092-2309
Mailing Country
US
Practice Street Address
5795 Lewiston RD
Practice Address Line 2
Niagara University Athletics
Practice City
Niagara University
Practice State
NY
Practice ZIP Code
14109
Practice Country
US
Practice Phone
(716) 286-8622
Practice Fax
(716) 286-8656
Enumeration Date
February 25, 2014
Last Updated
February 25, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)