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

Shannon Goltl, ATC

Individual provider Athletic Trainer · NPI 1144784471

Shannon Goltl, ATC is an Athletic Trainer in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2019.

Licensed in
MO
In the registry since
2019
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

2500 Old Highway 63 S Apt 7113
Columbia, MO 65201-2203
Phone: (720) 829-7575
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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 2000038556 (MO)

Record details

NPI number1144784471
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedJanuary 31, 2019
Last updated in NPPESJune 28, 2020
Certification dateJune 28, 2020

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