Individual provider · NPI-1

Sammantha Brockel, MS, ATC

Specialist/Technologist, Athletic Trainer · San Francisco, CA

NPI number1013447481
StatusActive
Last updated in NPPESJun 18, 2017

Details

NPI
1013447481
Entity type
Individual (NPI-1)
Name
Sammantha Brockel
Credential
MS, ATC
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2017
Last updated
Jun 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2000016054CAYes

Practice location

2130 Fulton St
San Francisco, CA 94117-1080

Phone 916-390-7638

Mailing address

2130 Fulton St
San Francisco, CA 94117-1080

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