Provider Demographics
NPI:1952376071
Name:SHINAVIER, WILLIAM JR (ATC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:SHINAVIER
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7160 GLACIER POINTE DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-6113
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 S STATE ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-2201
Practice Address - Country:US
Practice Address - Phone:734-764-8458
Practice Address - Fax:734-936-5182
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2008-02-01
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer