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Contact Information

SAMANTHA R KING, LAT, ATC
3500 BELLAIRE DRIVE
FORT WORTH, TX76109
 Phone: 862-380-0003
 Fax: 817-257-7323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for SAMANTHA R KING · (Female)

NPI # 1164144820
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 09/19/2022
Last updated 05/06/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # AT9017
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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