Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA LEE FAULKNER, MHA, LAT, ATC
Active Sole ProprietorSAMANTHA LEE FAULKNER, MHA, LAT, ATC is a Athletic Trainer healthcare provider located in DAVENPORT, Iowa. NPI 1740684463 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DAVENPORT, IA
Registration Details
- NPI Number
- 1740684463
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2014 (11.874900325005 yrs)
- Last Updated
- Mar 13, 2023
- Licenses
-
001165 (IA)096004831 (IL)2013030176 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
518 W LOCUST STDAVENPORT, IA, 528032898Browse IA providers · Browse ZIP 52803
- Phone
- 8153039909
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in DAVENPORT, IA
| Name | Credential | NPI |
|---|---|---|
| MR. JASON RANDALL VIEL | MS, LAT, ATC | 1851369656 |
| DEAN J BEAUCHAMP | ATC | 1205872652 |
| MR. STEPHEN EDWARD KNOCHE | ATC | 1538196159 |
| MR. JOHNNIE EUGENE JAMES | MS, LAT, ATC | 1538218649 |
| MR. TIMOTHY MICHAEL BLOCK | ATC, PTA | 1265640353 |
| MS. HARUYO IZUMI | A.T.C. | 1346423605 |
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.