Active NPIIndividual provider

Samantha Amundson, LAT, ATC

Specialist/Technologist, Athletic Trainer in Fort Campbell, Kentucky

NPI Number1831571231
Practice location
2270 Kentucky Ave, Fort Campbell, KY 42223-5362
Fax
—
Last updated
November 4, 2025

Samantha Amundson is a Specialist/Technologist, Athletic Trainer based in Fort Campbell, KY. Samantha Amundson practices in Fort Campbell, KY and has the professional credentials of LAT, ATC. The NPI Number for Samantha Amundson is 1831571231 and holds a License No. 003642-1 (NY). The current practice location address for Samantha Amundson is 2270 Kentucky Ave, Fort Campbell, KY 42223-5362 and can be reached out via phone at 608-335-5098.

Provider Profile Details

NPI Number
1831571231
Provider Name
Samantha Amundson
Credential
LAT, ATC
Provider Entity Type
Individual
Gender
Female
Address
2270 Kentucky Ave, Fort Campbell, KY 42223-5362
Phone Number
608-335-5098
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2015
Last Update Date
November 4, 2025
Certification Date
November 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2270 Kentucky Ave
Fort Campbell, KY 42223-5362
Zip
42223-5362
Phone Number
608-335-5098
Fort Campbell, KY 42223Get directions →

Provider Business Mailing Address Details

Address
925 Commonwealth Ave
Boston, MA 02215-1394
City
Boston
State
MA
Zip
02215-1394

License Information

License Number
003642-1
License State
NY
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Samantha Amundson, LAT, ATC?

The NPI number of Samantha Amundson, LAT, ATC is 1831571231. It was assigned on June 22, 2015 and is currently active in the NPPES registry.

What is the specialty of Samantha Amundson, LAT, ATC?

Samantha Amundson, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NY under license number 003642-1.

Where does Samantha Amundson, LAT, ATC practice?

The practice location is 2270 Kentucky Ave, Fort Campbell, KY 42223-5362. The office can be reached at 608-335-5098 (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 1831571231 directly on the NPPES registry website.

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