SAMANTHA DEE HENDRICKSON

PROVO, UT
NPI1104532225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  11125787-4810)
Enumeration Date2023-01-24
Last Update Date2023-01-24
Business Address
SAMANTHA DEE HENDRICKSON LAT, ATC
1000 NORTH UNIVERSITY AVENUE
PROVO, UT 84604
Phone number: 801-422-4636
Mailing Address
SAMANTHA DEE HENDRICKSON LAT, ATC
1254 N 350 W
AMERICAN FORK, UT 84003-5187
Phone number: