Samantha Layne Hanna, MS, LAT, ATC

NPI #1720618960 in Moscow, Idaho

Provider Information

NPI Number
1720618960
Entity Type
Individual
Name
Samantha Layne Hanna, MS, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS, LAT, ATC
Enumeration Date
Jan 15, 2020
Last Updated
Jan 15, 2020

Practice Location

Address
875 PERIMETER DRIVE COLLEGE OF EDUCATION 123
City
Moscow
State
Idaho
ZIP Code
83844-0001
Phone
(904) 200-7646

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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