Individual
SAMANTHA JO SHRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
101 BRANIGIN BLVD, FRANKLIN, IN 46131-2598
(317) 738-8173
Mailing address
101 BRANIGIN BLVD, FRANKLIN, IN 46131-2598
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002902A
IN
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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