Individual provider · Type 1 NPI

Samuel Wesley Wootten

Student in an Organized Health Care Education/Training Program · Hummelstown, PA

NPI number 1104365055 Active

Practice location

126 Doreen Dr
Hummelstown, PA 17036-2724

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104365055

Samuel Wesley Wootten's National Provider Identifier is 1104365055, issued on Feb 13, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hummelstown, PA. The record was last updated on Feb 13, 2017.