Provider Demographics
NPI:1427042555
Name:RONEY, SHAWN M (ATC, CSCS)
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:M
Last Name:RONEY
Suffix:
Gender:M
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8161 ANDOVER CT
Mailing Address - Street 2:B
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-8425
Mailing Address - Country:US
Mailing Address - Phone:561-512-6466
Mailing Address - Fax:
Practice Address - Street 1:6901 PARKER AVE
Practice Address - Street 2:ATHLETIC TRAINER - SHAWN RONEY
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-4555
Practice Address - Country:US
Practice Address - Phone:561-540-2454
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11022255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer