Individual
MRS. TERESA NOELLE SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
512 3RD ST NE, HARTLEY, IA 51346-1204
(712) 728-2702
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02656
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601260
—
IA
05
—
0655407
—
IA
05
—
0803635
—
IA
Enumeration date
11/14/2006
Last updated
07/12/2012
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