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

Individual provider Athletic Trainer · NPI 1881003762

Samantha Wilson, MPM, LAT, ATC is an Athletic Trainer in Louisville, Kentucky. Licensed in Kentucky and Ohio. Registered with an NPI since 2014.

Licensed in
KY, OH
In the registry since
2014
Specialties on file
2
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

4000 Kresge Way
Louisville, KY 40207-4605
Phone: (502) 897-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (KY)
Athletic Trainer Taxonomy 2255A2300X · Licence AT.004339 (OH)

Record details

NPI number1881003762
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPM , LAT , ATC
Sole proprietorNo
NPI enumeratedAugust 5, 2014
Last updated in NPPESMay 30, 2026
Certification dateMay 30, 2026

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