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

Shawn Edward Rostucher

Individual provider Athletic Trainer · NPI 1588435648

Shawn Edward Rostucher is an Athletic Trainer in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024

Practice location Address checks out

3429 Salmon St
Philadelphia, PA 19134-6014
Phone: (267) 606-8886
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 32972995 (PA)

Record details

NPI number1588435648
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 9, 2024
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

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