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

Michael Richard Shampo, LAT, ATC

Individual provider Athletic Trainer · NPI 1710718291

Michael Richard Shampo, LAT, ATC is an Athletic Trainer in Marinette, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

2135 Pierce Ave
Marinette, WI 54143-3947
Phone: (715) 735-1300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2820 Roosevelt Rd, Marinette, WI 54143-3834 — (715) 735-5225

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1107-39 (WI)

Record details

NPI number1710718291
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedAugust 8, 2024
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

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