Mrs. Bethany Alta Shaw, ATC, LAT
Mrs. Bethany Alta Shaw, ATC, LAT is an Athletic Trainer in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
What do these letters mean?
Practice location Address checks out
2025 E Newport AveMilwaukee, WI 53211-2906
Phone: (414) 961-4666
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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 693-039 (WI) |
|---|
Record details
| NPI number | 1225003684 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ATC , LAT |
| Sole proprietor | No |
| NPI enumerated | February 21, 2006 |
| Last updated in NPPES | July 8, 2007 |
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