Individual
SAMANTHA PAIGE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
208 RANDOLPH ST, EDMONTON, KY 42129-8175
(270) 432-2481
Mailing address
1921 SULPHUR WELL CENTER RD, EDMONTON, KY 42129-8222
(270) 670-5389
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TCA966
KY
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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