Individual provider · Type 1 NPI

Andrew Shirota

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1760125405 Active

Practice location

2402 Foxy Poise Rd
Louisville, KY 40220-1031

Call (502) 759-1928 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 1760125405

Andrew Shirota's National Provider Identifier is 1760125405, issued on Apr 20, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Apr 20, 2022.