Individual
SAM STREETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
1669 EAGLE DR, LOVELAND, CO 80537-6225
(970) 613-7900
Mailing address
3621 HAVEN CT, FORT COLLINS, CO 80526-3270
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000029581
SC
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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