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

Shane Rose

Individual provider Athletic Trainer · NPI 1073156071

Shane Rose is an Athletic Trainer in Southampton, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

1241 Valley Hill Trl
Southampton, PA 18966-4613
Phone: (215) 512-7673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1073156071
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 22, 2019
Last updated in NPPESOctober 22, 2019
Mailing address1241 Valley Hill Trl, Southampton, PA 18966-4613

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