Individual
SAMANTHA WOOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
718 E 12TH ST, DULUTH, MN 55805-1411
(612) 845-0175
Mailing address
718 E 12TH ST, DULUTH, MN 55805-1411
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
06/15/2016
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