Individual
SAMANTHA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-1000
Mailing address
303 W BLOUNT AVE, KNOXVILLE, TN 37920-1905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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