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

Shea Holbrook Tidaback

Individual provider Athletic Trainer · NPI 1164161766

Shea Holbrook Tidaback is an Athletic Trainer in Tucson, Arizona. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4949 N Gold Ave
Tucson, AZ 85705-1814
Phone: (520) 904-9168
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1164161766
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 1, 2022
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

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