Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA STARK, ATC, LAT
ActiveSAMANTHA STARK, ATC, LAT is a Athletic Trainer healthcare provider located in MENOMONEE FALLS, Wisconsin. NPI 1730815234 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MENOMONEE FALLS, WI
Registration Details
- NPI Number
- 1730815234
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2022 (4.0414607669571 yrs)
- Last Updated
- Jul 27, 2022
- License
-
1114-39 (WI)
Practice Information
- Address
-
N91W15750 FALLS PKWYMENOMONEE FALLS, WI, 530512301Browse WI providers · Browse ZIP 53051
- Phone
- 2625321100
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MENOMONEE FALLS, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. CARLA EBERT LARSON | ATC, PAS, CSCS | 1518935212 |
| MRS. JESSICA DEHN | LAT | 1366722613 |
| JEFF DAUSS | LAT | 1093101255 |
| JAMES PECHA | L.A.T. | 1770979817 |
| MR. DILLON JOHN FASSE | LAT, ATC | 1003357005 |
| SHELBY FINK | LAT, ATC | 1558837906 |
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.