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SAMANTHA ANN LIDDY ATC NPI 1366753733


NPI Information

NPI: 1366753733
Provider Name: SAMANTHA ANN LIDDY, ATC
Classification: Specialist/Technologist - 2255A2300X
Entity Type: Individual

Specialization: Athletic Trainer

Address:
100 A LINDSEY LANE
KINGSLAND, GA
ZIP 31548
Phone: (912) 729-1333
Get Directions

Samantha Ann Liddy, ATC is an athletic trainer specialist technologist in Kingsland, GA. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. Samantha Ann Liddy, ATC NPI is 1366753733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 A LINDSEY LANE
KINGSLAND, GA
ZIP 31548-000
Phone: (912) 729-1333
Fax: (912) 729-5259

The enumeration date for this NPI number is 6/30/2010 and was last updated on 6/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerAT001475GEORGIANo
22255A2300XSpecialist/TechnologistAthletic TrainerAL2498FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AT001475OTHERGEORGIALICENSES
2AL2498OTHERFLORIDALICENSES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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