Samantha Blazek, LAT, ATC

NPI #1306699608 in Malta, Illinois

Provider Information

NPI Number
1306699608
Entity Type
Individual
Name
Samantha Blazek, LAT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Apr 8, 2024
Last Updated
Apr 8, 2024

Practice Location

Address
PO BOX 141
City
Malta
ZIP Code
60150-0141
Phone
(815) 501-2900

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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