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MR. SAMUEL B MOORE ATC
NPI 1346594793
Specialist/Technologist - Athletic Trainer in Robbinsdale, MN

Active since November 07, 2012
4337 DREW AVE N, ROBBINSDALE, MN 55422(651) 373-9286 Get Directions Write a Review

NPPES record last updated: November 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Samuel B Moore Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SAMUEL B MOORE ATC (NPI 1346594793) is an individual athletic trainer provider in Robbinsdale, Minnesota, licensed in Minnesota (2403) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1346594793
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. SAMUEL B MOORECredential: ATC
Location Address4337 DREW AVE NRobbinsdale, MN 55422
Mailing Address4337 Drew Ave NRobbinsdale, MN 55422-1550
Phone(651) 373-9286
Sole ProprietorYes
Enumeration DateNovember 7, 2012
✔ NPI 1346594793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MN · 2403
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
4337 DREW AVE N, Robbinsdale, MN 55422
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Moore's NPI number?

The NPI number for Samuel Moore is 1346594793. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Where is Samuel Moore located?

Samuel Moore practices at 4337 Drew Ave N, Robbinsdale, MN 55422. The listed phone number is (651) 373-9286.

What is Samuel Moore's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Samuel Moore was last updated on November 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.