Samantha Nicole Altamirano, ATC
Individual provider Active NPI Athletic Trainer · Jackson, MI
NPI 1285206136 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1285206136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2601002102 (MI)
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (509) 307-7422
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601002102 | MI | MD | Athletic Trainer |
| AT005906 | OH | MD | Athletic Trainer |
| 60865271 | WA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT005906 | OH | |
| Athletic Trainer | 2255A2300X | 60865271 | WA | |
| Athletic Trainer | 2255A2300X | 2601002102 | MI | Yes |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
1149 Desoto Ave
Ypsilanti, MI 48198-6279
Other names
- Samantha Nicole McTee
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.