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

Shannon Lynn Moose, ATC, ROT, LAT

Individual provider Athletic Trainer · NPI 1114748928

Shannon Lynn Moose, ATC, ROT, LAT is an Athletic Trainer in St Charles, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

255 Red Gate Rd
St Charles, IL 60175-6396
Phone: (224) 805-1199
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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 096004184 (IL)

Record details

NPI number1114748928
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , ROT , LAT
Sole proprietorYes
NPI enumeratedOctober 23, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

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