Samantha Layne Hanna, MS, LAT, ATC Valid NPI
Individual provider · Athletic Trainer · Moscow, ID
- NPI
- 1720618960
- Type
- Individual (Type 1)
- Primary specialty
- Athletic Trainer (Specialist/Technologist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 2255A2300X
- License number
- 661 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-01-15
- Last updated
- 2020-01-15
Practice location
875 Perimeter Drive College Of Education 123
Moscow, ID 83844-0001
(904) 200-7646