Individual
SAMANTHA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1651 NAISMITH DR, LAWRENCE, KS 66045-4069
(417) 241-1989
Mailing address
839 JULIAN ST, MARSHFIELD, MO 65706-1144
(417) 241-1989
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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