Ittner, Andrea Shanell

Ittner, Andrea Shanell is an sole proprietor health care provider with primary practice located at 1912 Sw Aspen St , Bentonville AR 72712-7754. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Ittner, Andrea Shanell can be contacted via phone (918) 406-8170.

Contact Information

Primary practice address
1912 Sw Aspen St Bentonville AR 72712-7754
Phone: (918) 406-8170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 539 Arkansas

Profile Details

NPI number 1326578584
LBN Legal business name Ittner, Andrea Shanell
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers