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

Paula Shivock, LATATC

Individual provider Athletic Trainer · NPI 1497124143

Paula Shivock, LATATC is an Athletic Trainer in Stroudsburg, Pennsylvania. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015
Specialties on file
2

Practice location Address checks out

440 N 5th St
Stroudsburg, PA 18360-2439
Phone: (570) 878-9818
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 12014120-4810 (UT)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1497124143
Entity typeIndividual (Type 1)
GenderFemale
Credentials LATATC
Sole proprietorNo
NPI enumeratedSeptember 23, 2015
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address652 S Medical Center Dr Ste 120, St George, UT 84790-7077

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