Individual
SAMANTHA TIENKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
600 S COLLEGE AVE, 125 MORROW, WARRENSBURG, MO 64093-2626
(660) 543-8868
Mailing address
600 S COLLEGE AVE, 125 MORROW, WARRENSBURG, MO 64093-2626
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014030410
MO
Other
Enumeration date
03/26/2015
Last updated
07/18/2018
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