Individual
SAMUEL CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
344 LONDON BRIDGE RD, LAKE HAVASU CITY, AZ 86403-4619
(928) 208-5611
Mailing address
2701 SHASTA LN, LAKE HAVASU CITY, AZ 86403-5134
(928) 208-5741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-19902
AZ
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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