Mr. Shane Thomas Stockelman, ATC, LAT

Individual provider Sports Medicine (Internal Medicine) Physician · NPI 1932731684

Mr. Shane Thomas Stockelman, ATC, LAT is a Sports Medicine (Internal Medicine) Physician in Tallahassee, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in: FL
In the registry since: 2020

What do these letters mean?

ATC — Certified Athletic Trainer: Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer: A state-licensed athletic trainer.

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Practice location Address checks out

3334 Capital Medical Blvd
Tallahassee, FL 32308-8405
Phone: (850) 877-8174

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

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary)	Taxonomy 207RS0010X · Licence 5752 (FL)

Record details

NPI number	1932731684
Entity type	Individual (Type 1)
Gender	Male
Credentials	ATC , LAT
Sole proprietor	Yes
NPI enumerated	February 11, 2020
Last updated in NPPES	February 11, 2020
Certification date	February 11, 2020