Individual
SAMANTHA GENNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
2505 N OAKLAND AVE, MILWAUKEE, WI 53211-3931
(800) 781-2320
Mailing address
2505 N OAKLAND AVE, MILWAUKEE, WI 53211-3931
(800) 781-2320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2275
TN
2255A2300X
Athletic Trainer
AT002825
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000020078
BOC
—
Enumeration date
04/19/2016
Last updated
02/10/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us