Individual provider · Type 1 NPI

Garrett Kenworthy Shook

Student in an Organized Health Care Education/Training Program · Muncie, IN

NPI number 1144691130 Active

Practice location

1811 W Royale Dr Apt 3B
Muncie, IN 47304-2279

Call (765) 238-8011 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144691130

Garrett Kenworthy Shook's National Provider Identifier is 1144691130, issued on Oct 15, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Muncie, IN. The record was last updated on Oct 15, 2015.