MISS KEAGHAN MICHELLE SHACKLETT (NPI# 1225508898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225508898 |
| Entity Type | Individual |
| Full Name | MISS KEAGHAN MICHELLE SHACKLETT |
| Credential | LAT, ATC |
| Practice Address |
13747 Cody St. Overland Park KS 66221 |
| Practice Telephone | 9135301148 |
| Mailing Telephone | 9135301148 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13747 CODY ST. |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936290 | Roling Chiropractic and Wellness LLC | Chiropractor | 11818 W 135th St, Overland Park, KS 66221 | 2019-08-01 |
| 1518519339 | Joshua Dale Roling | Chiropractor | 11818 West 135th Street, Overland Park, KS 66221 | 2019-07-11 |
| 1215341003 | Creighton Gallagher, Dds LLC | Dentist | 8925 W 135th Street, Overland Park, KS 66221 | 2014-06-19 |
| 1508201963 | Jessica Mary Molstad | Nurse Practitioner | 11400 W. 135th Street, Overland Park, KS 66221 | 2013-04-29 |
| 1659687739 | Willie K Yuen | Physical Therapist | 11504 W 135th St., Performance Rehab. LLC, Overland Park, KS 66221 | 2010-08-26 |
| 1730414970 | Sue A. Klein | Physical Therapist | 11504 W. 135th St., Overland Park, KS 66221 | 2009-10-06 |
| 1538375407 | Michelle Tims | Occupational Therapist | 9101 158th St, Overland Park, KS 66221 | 2007-05-15 |
| 1124249321 | Choice of Health Pa | Chiropractor | 9120 W 135th Street, Suite 205, Overland Park, KS 66221 | 2007-05-02 |
| 1396830980 | Heartland Diabetic Supplies LLC | Non-Pharmacy Dispensing Site | 10703 W. 149th Street, Overland Park, KS 66221 | 2006-10-03 |
| 1457454589 | Michael Trenkamp | Physical Therapy Assistant | 11330 West 135th Street, Overland Park, KS 66221 | 2006-09-06 |
| Find all providers in zip 66221 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | 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 advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828781 | Kim R Adkins | Specialist/Technologist | 8806 Riley St, Overland Park, KS 66212-2054 | 2020-10-15 |
| 1033677935 | William Cameron Baker | Specialist/Technologist | 4710 W 139th Ter, Overland Park, KS 66224-3663 | 2019-03-09 |
| 1457829327 | Emma Anne Corkill | Specialist/Technologist | 10700 Nall Ave, Overland Park, KS 66211-1206 | 2018-11-08 |
| 1083198261 | Josh Hardy | Specialist/Technologist | 8302 W 125th St, Overland Park, KS 66213-1400 | 2018-09-24 |
| 1497239834 | Krisha Kackley | Specialist/Technologist | 10790 Nall Ave, Overland Park, KS 66211-1206 | 2018-09-21 |
| 1679084578 | Kaycee Adair | Specialist/Technologist | 10730 Nall Ave Ste 200, Overland Park, KS 66211-1285 | 2017-10-18 |
| 1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
| 1083134506 | Devon Hudspeth | Specialist/Technologist | 12302 Mackey St, Overland Park, KS 66213-1431 | 2017-06-26 |
| 1225491301 | Randall Jackson | Specialist/Technologist | 9805 Bluejacket St, Overland Park, KS 66214-2347 | 2016-04-05 |
| 1861864381 | Melanie Ellsworth | Specialist/Technologist | 10533 Goddard Street, Apt 331, Overland Park, KS 66214 | 2015-10-23 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66221 |
Please comment or provide details below to improve the information on MISS KEAGHAN MICHELLE SHACKLETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.