Individual provider · Type 1 NPI

Jerry Shadbolt, ATC

Athletic Trainer · Sumter, SC

NPI number 1932192671 Active

Practice location

1215 Alice Dr
Sumter, SC 29150-1905

Mailing address

3145 Tamarah Way
Sumter, SC 29154-9556

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X191 (SC)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1932192671

Jerry Shadbolt, ATC's National Provider Identifier is 1932192671, issued on Aug 29, 2005. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Sumter, SC. The record was last updated on Jul 13, 2026.