Individual
SAMANTHA HAWKINSON DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ACSM-CEP
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2558
Mailing address
111 MAIN AVE APT 103, KAUKAUNA, WI 54130-2436
(920) 475-4201
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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