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

Individual provider Athletic Trainer · NPI 1740658541

Shane Levenson is an Athletic Trainer in Stennis Space Center, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2015
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Practice location Address checks out

2603 Lowr Gainesville RD
Stennis Space Center, MS 39529-7099
Phone: (228) 813-4000
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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 AT0452 (MS)

Record details

NPI number1740658541
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 10, 2015
Last updated in NPPESSeptember 10, 2015

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