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

Q: What is Shane Fitness LLC's NPI number?

The NPI number for Shane Fitness LLC is 1871108563. It was assigned to this organization in the NPPES registry on September 10, 2020. The provider is doing business as Shane Fitness 101.

Q: What is Shane Fitness LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Fitness LLC was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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: August 23, 2026.

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About Shane Fitness Llc NPPES

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

SHANE FITNESS LLC (NPI 1871108563), doing business as Shane Fitness 101, is a healthcare organization registered as an athletic trainer in Ypsilanti, Michigan and active in the NPI registry since September 2020. The organization lists Deland Maurice Mcmullan, Athletic Training, as its authorized official.

NPPES Registry Identity

NPI1871108563

Entity TypeOrganization

Primary Taxonomy2255A2300X

Legal Business NameSHANE FITNESS LLC

Location Address1122 WALNUT STYpsilanti, MI 48198-3937

Mailing Address1122 Walnut StYpsilanti, MI 48198-3937 · (734) 320-4819

Phone(734) 320-4819

Organization SubpartNo

Authorized OfficialDeland Maurice McmullanAthletic Training · (734) 320-4819

Enumeration DateSeptember 10, 2020

NPPES CertifiedSeptember 10, 2020

✔ NPI 1871108563 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.

1122 WALNUT ST, Ypsilanti, MI 48198

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Other Names 1

Doing Business AsShane Fitness 101

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

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