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

Samuel Wesley Wootten

Individual provider Athletic Trainer · NPI 1104365055

Samuel Wesley Wootten is an Athletic Trainer in Hummelstown, Pennsylvania. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
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Practice location Address checks out

126 Doreen Dr
Hummelstown, PA 17036-2724
Phone: (717) 566-4525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1104365055
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2017
Last updated in NPPESFebruary 13, 2017
Mailing address126 Doreen Dr, Hummelstown, PA 17036-2724

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