Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addisyn Samuelson, LAT, ATC

Individual provider Athletic Trainer · NPI 1508590019

Addisyn Samuelson, LAT, ATC is an Athletic Trainer in Spokane, Washington. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

911 W 5th Ave
Spokane, WA 99204-2901
Phone: (509) 455-7844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1508590019
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedJuly 11, 2022
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address911 W 5th Ave, Spokane, WA 99204-2901

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