Individual
SAMANTHA LYNNE WINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-8355
(435) 650-4301
Mailing address
330 N 250 W, SMITHFIELD, UT 84335-1812
(435) 650-4301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
00594
IA
2255A2300X
Athletic Trainer
Primary
8380211-4810
UT
2255A2300X
Athletic Trainer
AT.0000523
CO
2255A2300X
Athletic Trainer
—
CO
Other
Enumeration date
11/09/2009
Last updated
06/11/2026
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