SHANE FITNESS LLC
NPI 1871108563
Specialist/Technologist - Athletic Trainer in Ypsilanti, MI

Active since September 10, 2020
1122 WALNUT ST, YPSILANTI, MI 48198(734) 320-4819 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist/Technologist
  • Athletic Trainer

About SHANE FITNESS LLC

This page provides the complete NPI Profile along with additional information for Shane Fitness Llc, a provider established in Ypsilanti, Michigan operating as a Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1871108563 assigned on September 2020. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Shane Fitness Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Deland Maurice Mcmullan Jr. Athletic Trainer (Athletic Training)

NPI
1871108563 Verify this NPI
Provider Name
SHANE FITNESS LLC
Entity Type
Organization
Location Address
1122 WALNUT ST YPSILANTI, MI 48198
Location Phone
(734) 320-4819
Mailing Address
1122 WALNUT ST YPSILANTI, MI 48198
Mailing Phone
(734) 320-4819
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-10-2020
Last Update Date
09-10-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DELAND MAURICE MCMULLAN JR. ATHLETIC TRAINER

Authorized Official Title
ATHLETIC TRAINING
Authorized Official Phone
(734) 320-4819

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Analyst
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198
Behavior Technician
1122 WALNUT ST
YPSILANTI, MI 48198

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871108563, enumerated as an "organization" on September 10, 2020.

The provider is located at 1122 WALNUT ST YPSILANTI, MI 48198 and the phone number is (734) 320-4819.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.