Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Shangreaux, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1104366475

Jordan Shangreaux, MS, LAT, ATC is an Athletic Trainer in Aberdeen, South Dakota. Licensed in South Dakota. Registered with an NPI since 2017.

Licensed in
SD
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2200 S Roosevelt St
Aberdeen, SD 57401
Phone: (605) 280-4697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0472 (SD)

Record details

NPI number1104366475
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedMarch 6, 2017
Last updated in NPPESDecember 20, 2019
Certification dateDecember 20, 2019

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