Samuel Wesley Wootten

NPI #1104365055 in Hummelstown, Pennsylvania

Provider Information

NPI Number: 1104365055
Entity Type: Individual
Name: Samuel Wesley Wootten
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 13, 2017
Last Updated: Feb 13, 2017

Practice Location

Address: 126 DOREEN DR
City: Hummelstown
State: Pennsylvania
ZIP Code: 17036-2724
Phone: (717) 566-4525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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Organizations

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