Sarah Marlene Shade, ATC, EMT | |
694 E Union Garden Ct, Midvale, UT 84047-2400 | |
(614) 600-4392 | |
Not Available |
Full Name | Sarah Marlene Shade |
---|---|
Gender | Female |
Speciality | Specialist/technologist - Athletic Trainer |
Location | 694 E Union Garden Ct, Midvale, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467081588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 2023038475 (Utah) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Sarah Marlene Shade, ATC, EMT 694 E Union Garden Ct, Midvale, UT 84047-2400 Ph: (614) 600-4392 | Sarah Marlene Shade, ATC, EMT 694 E Union Garden Ct, Midvale, UT 84047-2400 Ph: (614) 600-4392 |
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