Individual
SAMANTHA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
374 KROGER WAY, VERSAILLES, KY 40383-1915
(859) 846-5806
(859) 846-5806
Mailing address
149 OLD TOWNE WALK APT 6102, LEXINGTON, KY 40511-2191
(918) 721-9935
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
930
OK
Other
Enumeration date
04/08/2015
Last updated
02/24/2021
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