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.

See every abbreviation used in this directory →

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

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