Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA TIENKEN, MA, ATC
Deactivated Sole ProprietorSAMANTHA TIENKEN, MA, ATC is a Athletic Trainer healthcare provider located in WARRENSBURG, Missouri. NPI 1992199053 is deactivated in the NPPES registry. Verify at CMS.
Athletic Trainer · WARRENSBURG, MO
This NPI has been deactivated.
The record was deactivated on January 25, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1992199053
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2015 (2.8356164383562 yrs)
- Last Updated
- Jul 18, 2018
- Deactivated
- Jan 25, 2018
- License
-
2014030410 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 S COLLEGE AVE125 MORROWWARRENSBURG, MO, 640932626Browse MO providers · Browse ZIP 64093
- Phone
- 6605438868
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WARRENSBURG, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. JILL GREEN PEDERSEN | ATC | 1568400638 |
| DR. BRIAN JOSEPH HUGHES | ATC, LAT | 1154798239 |
| JAYSON DANIEL SHEPHERD | MS, ATC, LAT | 1376054742 |
| BRIAN K HENRY | ATC | 1477044907 |
| MEGAN LAUREL BATUSIC | LAT, ATC | 1689152258 |
| AMANDA RALTON | — | 1700446564 |
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.