Individual
SAMANTHA WALMSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 N RANDALL RD STE 103, ELGIN, IL 60123-2302
(814) 398-9491
Mailing address
1846 N GOODWIN DR APT 1A, PALATINE, IL 60074-1784
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/18/2019
Last updated
08/14/2020
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