MICHAEL WAYNE SHETLEY

APPOMATTOX, VA
NPI1346594264
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: VA  0126000490)
Enumeration Date2012-10-30
Last Update Date2012-10-30
Business Address
MR. MICHAEL WAYNE SHETLEY ATC, CSCS
198 EVERGREEN AVE
APPOMATTOX, VA 24522
Phone number: 804-539-5080
Mailing Address
MR. MICHAEL WAYNE SHETLEY ATC, CSCS
179 GLENN CARSON RD
PROSPECT, VA 23960-2112
Phone number: 804-539-5080