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

Samuel Joseph Stukenborg

Individual provider Athletic Trainer · NPI 1285149161

Samuel Joseph Stukenborg is an Athletic Trainer in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2017

Practice location Address checks out

5900 Walnut Grove Rd
Memphis, TN 38120-2104
Phone: (901) 264-4900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2298 (TN)

Record details

NPI number1285149161
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 13, 2017
Last updated in NPPESDecember 13, 2017
Mailing address5900 Walnut Grove Rd, Memphis, TN 38120-2104

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