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Individual

SAMANTHA DEE HENDRICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
1000 NORTH UNIVERSITY AVENUE, PROVO, UT 84604
(801) 422-4636
Mailing address
1254 N 350 W, AMERICAN FORK, UT 84003-5187

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
11125787-4810
UT

Other

Enumeration date
01/24/2023
Last updated
01/24/2023
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