SAMANTHA WILSON

LINCOLN, NE
NPI1407393143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  672)
Enumeration Date2017-01-19
Last Update Date2017-01-19
Business Address
-- SAMANTHA WILSON ATC
1900 BROADMOORE DRIVE
LINCOLN, NE 68506
Phone number: 507-951-3128
Mailing Address
-- SAMANTHA WILSON ATC
1900 BROADMOORE DR
LINCOLN, NE 68506-2316
Phone number: 507-951-3128