Michael Shane Tierney
Michael Shane Tierney is an Athletic Trainer in Mc Lean, Virginia. Licensed in Virginia. Registered with an NPI since 2021.
- Licensed in
- VA
- In the registry since
- 2021
Practice location Address checks out
1633 Davidson RdMc Lean, VA 22101-4399
Phone: (703) 714-5771
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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 0126001718 (VA) |
|---|
Record details
| NPI number | 1073197679 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 10, 2021 |
| Last updated in NPPES | May 10, 2021 |
| Certification date | May 10, 2021 |
| Mailing address | 1633 Davidson Rd, Mc Lean, VA 22101-4399 |
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