Provider Demographics
NPI:1437257821
Name:SHEARER, FRANK JOHN (MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:JOHN
Last Name:SHEARER
Suffix:
Gender:M
Credentials:MS, ATC
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Mailing Address - Street 1:24255 PACIFIC COAST HWY
Mailing Address - Street 2:DEPARTMENT OF ATHLETICS, PEPPERDINE UNIVERSITY
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90263-3999
Mailing Address - Country:US
Mailing Address - Phone:310-506-4602
Mailing Address - Fax:
Practice Address - Street 1:24255 PACIFIC COAST HWY
Practice Address - Street 2:DEPARTMENT OF ATHLETICS, PEPPERDINE UNIVERSITY
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90263-3999
Practice Address - Country:US
Practice Address - Phone:310-506-4602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer