MR. SHANNON BRANTLEY, P.T, A.T.C.
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1609081942
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | No | PT 007647 (GA) |
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | AT 001133 (GA) |
Frequently Asked Questions
NPI 1609081942 is the National Provider Identifier for MR. SHANNON BRANTLEY, P.T, A.T.C., a Specialist/Technologist - Athletic Trainer provider located in Vidalia, GA. This NPI was enumerated on May 11, 2007.
MR. SHANNON BRANTLEY, P.T, A.T.C. practices at 101 HARRIS INDUSTRIAL BLVD, Vidalia, GA 30474.
Quick Facts
- NPI
- 1609081942
- Type
- Individual
- Enumerated
- May 11, 2007
- Last Updated
- Sep 11, 2025
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