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Contact Information

SAMANTHA D HENDRICKSON, LAT, ATC
1000 NORTH UNIVERSITY AVENUE
PROVO, UT84604
 Phone: 801-422-4636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for SAMANTHA D HENDRICKSON · (Female)

NPI # 1104532225
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 01/24/2023
Last updated 01/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 11125787-4810
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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