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

Shannon Mortimer, LAT, C

Individual provider Athletic Trainer · NPI 1487043881

Shannon Mortimer, LAT, C is an Athletic Trainer in West Allis, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

9634 W Rosedale Ave
West Allis, WI 53227-3332
Phone: (920) 418-0460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 585-039 (WI)

Record details

NPI number1487043881
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , C
Sole proprietorNo
NPI enumeratedJanuary 22, 2015
Last updated in NPPESJanuary 22, 2015
Mailing address9634 W Rosedale Ave, West Allis, WI 53227-3332

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