Individual
ADDISYN SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
911 W 5TH AVE, SPOKANE, WA 99204-2901
(509) 455-7844
Mailing address
911 W 5TH AVE, SPOKANE, WA 99204-2901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
10/10/2025
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