NATHAN TAYLOR SHELSTA

DECATUR, IL
NPI1255326187
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096001669)
Enumeration Date2005-09-16
Last Update Date2007-07-08
Business Address
-- NATHAN TAYLOR SHELSTA ATC
311 S LINDEN AVE
DECATUR, IL 62522-2525
Phone number: 217-520-1720
Mailing Address
-- NATHAN TAYLOR SHELSTA ATC
311 S LINDEN AVE
DECATUR, IL 62522-2525
Phone number: 217-520-1720
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