NPI 1003338104

Samantha Lynn Haiden, BHSATCLAT

Practitioner Athletic Trainer Glen Ellyn, IL

Practice location

Address: 2n150 Diane Ave, Glen Ellyn, IL 60137-3138
Phone: (630) 297-1120

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT7197 (TX)

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Registry record

NPI: 1003338104
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.