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

Shane D Marquardt

Individual provider Athletic Trainer · NPI 1538847629

Shane D Marquardt is an Athletic Trainer in Mill Creek, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

15418 Main St
Mill Creek, WA 98012-9030
Phone: (425) 742-6034
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 60680370 (WA)

Record details

NPI number1538847629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 7, 2023
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023
Mailing address15418 Main St Unit M106, Mill Creek, WA 98012-9021

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