Shelby Jeanne Deuel
Individual provider Active NPI Athletic Trainer · Highland, UT
NPI 1821704784 · NPPES record last updated Sep 22, 2024
Key facts
- NPI
- 1821704784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 14160294-4810 (UT)
- Practice address
- 9657 N 5650 W
Highland, UT 84003-3532 - Phone
- (801) 717-6582
- NPI assigned
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14160294-4810 | UT | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 14160294-4810 | UT | Yes |
Addresses
Primary practice location
9657 N 5650 W
Highland, UT 84003-3532
Mailing address
9657 N 5650 W
Highland, UT 84003-3532
Phone (801) 717-6582
Other practice location 1
3992 Central Campus Drive Dept 3504
Ogden, UT 84408-0001
Phone (801) 626-7656
Other providers in Highland, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.