MR. SHAD THEODORE BERNARD MA ATC/L NPI 1902873268

NPI Information

MR. Shad Theodore Bernard, MA, ATC/L is a specialist in Dayton, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Shad Theodore Bernard, MA, ATC/L NPI is 1902873268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1997 MIAMISBURG CENTERVILLE RD
DAYTON, OH
ZIP 45459-811
Phone: (937) 401-6400

The enumeration date for this NPI number is 3/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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