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

Shane Reilly, ATC

Individual provider Athletic Trainer · NPI 1245638808

Shane Reilly, ATC is an Athletic Trainer in Hurlburt Field, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

100 Servais Way
Hurlburt Field, FL 32566
Phone: (850) 884-4661
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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 AL3250 (FL)

Record details

NPI number1245638808
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedDecember 15, 2014
Last updated in NPPESDecember 15, 2014
Mailing address13128 Concord Dr W, Lillian, AL 36549-3960

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