Samantha Basham

Athletic Trainer · Defiance, OH

Individual Active NPI

NPI number 1619485497

Practice location

200 Clinton St Ste B
Defiance, OH 43512-0016
Phone
(419) 565-9749

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NPI record

NPI
1619485497
Entity type
Individual (Type 1)
Enumeration date
January 16, 2018
Last updated
January 16, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

About Samantha Basham

Samantha Basham is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 200 Clinton St Ste B, Defiance, OH 43512-0016. The NPI number 1619485497 was assigned on January 16, 2018 and the record was last updated on January 16, 2018.

Frequently asked questions

What is the NPI number of Samantha Basham?

The NPI number is 1619485497.

What is the phone number of Samantha Basham?

The phone number listed for the practice location is (419) 565-9749.

Where is Samantha Basham located?

200 Clinton St Ste B, Defiance, OH 43512-0016.

What is the taxonomy code for Samantha Basham?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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