Individual
SAMANTHA SHOOPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 S 3RD STREET PLZ, OMAHA, NE 68108-1710
(307) 880-7260
Mailing address
2508 S 3RD STREET PLZ, OMAHA, NE 68108-1710
(307) 880-7260
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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