Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SAMUEL B MOORE, ATC
Active Sole ProprietorMR. SAMUEL B MOORE, ATC is a Athletic Trainer healthcare provider located in ROBBINSDALE, Minnesota. NPI 1346594793 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ROBBINSDALE, MN
Registration Details
- NPI Number
- 1346594793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2012 (13.749417050782 yrs)
- Last Updated
- Nov 7, 2012
- License
-
2403 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4337 DREW AVE NROBBINSDALE, MN, 55422Browse MN providers · Browse ZIP 55422
- Phone
- 6513739286
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in ROBBINSDALE, MN
| Name | Credential | NPI |
|---|---|---|
| REBECCA M STONE | ATC | 1588602817 |
| MRS. LISA MARIE PARTYKA | ATC | 1033154695 |
| SCOTT GREGORY GARDNER | ATC | 1063577880 |
| MR. CHRISTOPHER NICHOLAS THEIN | MS, ATC, EMT | 1023137825 |
| MR. SCOTT M WESTERMANN | ATC | 1588784862 |
| MATTHEW STONEBERG | MS, ATC | 1760503346 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.