1. Home
  2. Directory
  3. Wisconsin
  4. Shawano
  5. Specialist Technologist
  6. NPI Profile

MRS. SALLY SUSAN EGAN ATC, LAT, CSCS
NPI 1609919182
Specialist/Technologist - Athletic Trainer in Shawano, WI

Active since February 15, 2007
100 CTY RD B, THERAPY SERVICES, SHAWANO, WI 54166(715) 526-2111 Get Directions Write a Review

NPPES record last updated: October 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Sally Susan Egan Atc, Lat, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SALLY SUSAN EGAN ATC, LAT, CSCS (NPI 1609919182) is an individual athletic trainer provider in Shawano, Wisconsin and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1609919182
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. SALLY SUSAN EGANCredential: ATC, LAT, CSCS
Location Address100 CTY RD B, THERAPY SERVICESShawano, WI 54166-7072
Mailing AddressW12529 Zimdars RdLeopolis, WI 54948-9732 · (715) 853-3565
Phone(715) 526-2111
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateOctober 4, 2015
✔ NPI 1609919182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
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.
100 CTY RD B, Shawano, WI 54166
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Sally Susan Buckett Atc, Lat, Cscs

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY HUNTINGTON
Registered Nurse
100 CTY RD B
SHAWANO, WI 54166
Shawano County (715) 526-2126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Egan's NPI number?

The NPI number for Sally Egan is 1609919182. It was assigned to this individual provider in the NPPES registry on February 15, 2007. The provider is also known as Ms. Sally Susan Buckett Atc, Lat, Cscs.

Where is Sally Egan located?

Sally Egan practices at 100 Cty Rd B Therapy Services, Shawano, WI 54166. The listed phone number is (715) 526-2111.

What is Sally Egan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Sally Egan was last updated on October 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.