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Organization
SAMANTHA CHILSON, LLC
Active
Organization
SAMANTHA CHILSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA CHILSON (OWNER)
(636) 358-9612
Entity
Organization
Contact information
Practice address
400 LAKE SAINT LOUIS BLVD, LAKE SAINT LOUIS, MO 63367-1377
(636) 358-9612
Mailing address
142 DIEKAMP LN, SAINT CHARLES, MO 63303-5137
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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