Individual
SAMANTHA AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2270 KENTUCKY AVE, FORT CAMPBELL, KY 42223-5362
(608) 335-5098
Mailing address
925 COMMONWEALTH AVE, BOSTON, MA 02215-1394
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003642-1
NY
Other
Enumeration date
06/22/2015
Last updated
11/04/2025
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