Miss Samantha Shirley, ATC
Specialist/Technologist, Athletic Trainer in Springfield, Massachusetts
1700256419- Practice location
- 6 Sumner Avenue, Apt 11, Springfield, MA 01108
- Phone
- 860-539-5125
- Fax
- —
- Last updated
- October 7, 2015
Samantha Shirley is a Specialist/Technologist, Athletic Trainer based in Springfield, MA. Samantha Shirley practices in Springfield, MA and has the professional credentials of ATC. The NPI Number for Samantha Shirley is 1700256419 and holds a License No. 2747 (MA). The current practice location address for Samantha Shirley is 6 Sumner Avenue, Apt 11, Springfield, MA 01108 and can be reached out via phone at 860-539-5125.
Provider Profile Details
- NPI Number
- 1700256419
- Provider Name
- Samantha Shirley
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6 Sumner Avenue, Apt 11, Springfield, MA 01108
- Phone Number
- 860-539-5125
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 7, 2015
- Last Update Date
- October 7, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Sumner Avenue
Apt 11
Springfield, MA 01108 - City
- Springfield
- State
- Massachusetts
- Zip
- 01108
- Phone Number
- 860-539-5125
Provider Business Mailing Address Details
- Address
- 6 Sumner Ave Apt 11
Springfield, MA 01108-2345 - City
- Springfield
- State
- MA
- Zip
- 01108-2345
- Phone Number
- 860-539-5125
License Information
- License Number
- 2747
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Samantha Shirley, ATC?
The NPI number of Miss Samantha Shirley, ATC is 1700256419. It was assigned on October 7, 2015 and is currently active in the NPPES registry.
What is the specialty of Miss Samantha Shirley, ATC?
Miss Samantha Shirley, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2747.
Where does Miss Samantha Shirley, ATC practice?
The practice location is 6 Sumner Avenue, Apt 11, Springfield, MA 01108. The office can be reached at 860-539-5125 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700256419 directly on the NPPES registry website.