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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA ANN WAGNER, ATC, LAT, CES

Active Sole Proprietor

SAMANTHA ANN WAGNER, ATC, LAT, CES is a Athletic Trainer healthcare provider located in STILLWATER, Oklahoma. NPI 1770943078 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · STILLWATER, OK

Registration Details

NPI Number
1770943078
Provider Type
Individual
Gender
Female
NPI Issued
Feb 29, 2016 (10.30945686107 yrs)
Last Updated
Feb 29, 2016
License
914 (OK)
Sole Proprietor
Yes

Practice Information

Address
170 ATHLETIC CTR
STILLWATER, OK, 740780001
Browse OK providers · Browse ZIP 74078
Phone
4057447823
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in STILLWATER, OK

Name Credential NPI
PROF. MATTHEW SCOTT O'BRIEN PHD, ATC, LAT 1942295316
MR. BRANDON SCOTT HETZLER ATC, LAT 1982685608
MR. MURPHY D GRANT MS, ATC, NASM-PES 1396789459
MATTHEW REED HERRILL M.S., ATC, LAT 1457387425
ROBERT ANTHONY WOODS ATC 1922149491
JASON R MILLER ATC 1639391584
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.