Samuel J. Stukenborg
Athletic Trainer in Memphis, TN(View on Map)
Full Name
Samuel Joseph Stukenborg
NPI Number
1285149161
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/13/2017
Specialties
(Taxonomies)Licenses
State
Tennessee
License Number
2298
Contact
Information
Purpose
Mailing
Location
Address
5900 WALNUT GROVE RD
5900 WALNUT GROVE RD
City
Memphis
Memphis
State
TN
TN
Postal Code
38120-2104
38120-2104
Country
US
US
Telephone Number
N/A
(901) 264-4900
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/13/2017