SHANE T PHILLIPS

ANCHORAGE, AK
NPI1063283463
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IA  123978)
Enumeration Date2024-01-15
Last Update Date2024-01-15
Business Address
SHANE T PHILLIPS MED, ATC/L, PES
5955 ZEAMER AVE
ANCHORAGE, AK 99506-3702
Phone number: 907-580-2778
Mailing Address
SHANE T PHILLIPS MED, ATC/L, PES
4610 REKA DR APT A19
ANCHORAGE, AK 99508-3614
Phone number: 303-883-6151