SHANDA DANIELLE HENRY MS LAT ATC NPI 1265303804

NPI Information

  • NPI: 1265303804
  • Provider Name: SHANDA DANIELLE HENRY, MS, LAT, ATC
  • Classification: Emergency Medicine - 207PS0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • Address: 230 WILDCAT TRAIL
    TIGER, GA
    ZIP 30576
  • Phone: (706) 490-1430

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NPI Details

Shanda Danielle Henry, MS, LAT, ATC is a sports medicine emergency medicine in Tiger, GA. The provider is an emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. Shanda Danielle Henry, MS, LAT, ATC NPI is 1265303804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

230 WILDCAT TRAIL
TIGER, GA
ZIP 30576
Phone: (706) 490-1430

The enumeration date for this NPI number is 9/16/2025 and was last updated on 9/16/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PS0010XEmergency MedicineSports MedicineAT002799GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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