Samantha Paige Perry, MS, LAT, ATC
Individual provider Active NPI Athletic Trainer · Edmonton, KY
NPI 1487322368 · NPPES record last updated Sep 3, 2021
Key facts
- NPI
- 1487322368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- TCA966 (KY)
- Practice address
- 208 Randolph St
Edmonton, KY 42129-8175 - Phone
- (270) 432-2481
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TCA966 | KY | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | TCA966 | KY | Yes |
Addresses
Primary practice location
208 Randolph St
Edmonton, KY 42129-8175
Mailing address
1921 Sulphur Well Center Rd
Edmonton, KY 42129-8222
Phone (270) 670-5389
Other practice location 1
310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 651-1111
Other providers in Edmonton, KY
- Parmet Inc
- Parmet Inc
- Parmet Inc
- James Michael Pasley
- Billie Pedigo
- Constance R Prostko
- Tony Ray Reynolds
- RGS Transport
- Tony Rutherford
- Mark Saderholm
All providers in Edmonton, KY · Athletic Trainer in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 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.