Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA GAYLE YEAGY, ATC
ActiveSports Medicine (EM) · FAIRMOUNT, IN
Registration Details
- NPI Number
- 1760012181
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2020 (6.2415014177243 yrs)
- Last Updated
- Jan 24, 2020
- License
-
36002191A (IN)
Practice Information
- Address
-
11700 S E 00 WFAIRMOUNT, IN, 469289318Browse IN providers · Browse ZIP 46928
- Phone
- 7656183279
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
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.