Individual
SAMANTHA LEE LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, SCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-04200
KS
225100000X
Physical Therapist
Primary
2018032325
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA2765007
MEDICARE
KS
01
—
MA1102024
MEDICARE
MO
01
—
MA5234005
MEDICARE
MO
Enumeration date
11/08/2012
Last updated
03/20/2025
Update your record
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