Search › Virginia › 2255A2300X
Shawn Wiseman, ATC
NPI 1710494869 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1 Athletic Center Dr
Hampden Sydney D, VA 23943 - Phone
- (434) 223-6843
Additional practice sites
- 4001 Coliseum Dr Ste 200, Hampton, VA
- 1067 Big Bethel Rd, Hampton, VA
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia