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

Mr. Samuel B Moore, ATC

Individual provider Athletic Trainer · NPI 1346594793

Mr. Samuel B Moore, ATC is an Athletic Trainer in Robbinsdale, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2012
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4337 Drew Ave N
Robbinsdale, MN 55422
Phone: (651) 373-9286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2403 (MN)

Record details

NPI number1346594793
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedNovember 7, 2012
Last updated in NPPESNovember 7, 2012
Mailing address4337 Drew Ave N, Robbinsdale, MN 55422-1550

Other providers in Robbinsdale