IndividualActive
Amanda Shober
NPI 1386012052 · Athletic Trainer · Sussex, WI
Provider details
- NPI number
- 1386012052
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Practice location
W260n5417 Glen Ridge Rd
Sussex, WI 53089-4266
Phone: (262) 719-0396
Approximate (ZIP-level) locationGet directions
Mailing address
W260n5417 Glen Ridge Rd
Sussex, WI 53089-4266
Registry dates
- Enumerated
- 2015-09-10
- Last updated
- 2016-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.