Individual provider · Type 1 NPI
Samantha Willow Lewis
Student in an Organized Health Care Education/Training Program · Phelps, NY
NPI number
1649167263
Active
Practice location
68 Main St
Phelps, NY 14532-1053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1649167263
Samantha Willow Lewis's National Provider Identifier is 1649167263, issued on Jun 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phelps, NY. The record was last updated on Jun 18, 2025.