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Samuel Stukenborg
NPI 1285149161 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5900 Walnut Grove Rd
Memphis, TN 38120 - Phone
- (901) 264-4900
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee