Individual provider · Type 1 NPI
Shana M. Sewick, MS, LAT, ATC
Student in an Organized Health Care Education/Training Program · Galesburg, IL
NPI number
1689082638
Active
Practice location
2 E South St
Galesburg, IL 61401
Mailing address
1109 N Cherry St
Galesburg, IL 61401-2739
Other practice locations
- 10750 SW 11th St, Building F Apt 213, Miami, FL 33174-2511 · (815) 997-3826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
3 other providers at this address
Other student in an organized health care education/training program providers in Galesburg
About NPI 1689082638
Shana M. Sewick, MS, LAT, ATC's National Provider Identifier is 1689082638, issued on Jul 22, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Galesburg, IL. The record was last updated on Sep 11, 2025.