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Individual

SAMANTHA LEE LINVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, SCS

Contact information

Practice address
1320 NW HWY 7, BLUE SPRINGS, MO 64014
(816) 988-8148
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217

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
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