National Provider Identifier
Samantha Willow Lewis
Samantha Willow Lewis is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Phelps, NY and a listed phone number of (315) 719-5889.
Profile Overview
- NPI
- 1649167263
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- June 18, 2025
- Last Updated
- June 18, 2025
Practice Location
- 68 Main St
- Phelps, NY 14532-1053
Phone: (315) 719-5889
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1649167263
- Entity Type
- Individual
- Last Name
- Lewis
- First Name
- Samantha
- Middle Name
- Willow
- Mailing Street Address
- 68 Main St
- Mailing City
- Phelps
- Mailing State
- NY
- Mailing ZIP Code
- 14532-1053
- Mailing Country
- US
- Mailing Phone
- (315) 719-5889
- Practice Street Address
- 68 Main St
- Practice City
- Phelps
- Practice State
- NY
- Practice ZIP Code
- 14532-1053
- Practice Country
- US
- Practice Phone
- (315) 719-5889
- Enumeration Date
- June 18, 2025
- Last Updated
- June 18, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 18, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), Athletic Trainer (2255A2300X)