NPI 1083165930

Samuel Foster, ATC

Practitioner Athletic Trainer Tallahassee, FL

Practice location

Address: 403 Stadium Dr, Tallahassee, FL 32304-4247
Phone: (850) 288-3967
Mailing address: 232 Hayden Rd APT #106, Tallahassee, FL 32304-3650

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL4437 (FL)

Other Specialist/Technologist providers in Florida →

Registry record

NPI: 1083165930
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2016
Record last updated: 16 Oct 2016

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.