Individual
SAMUEL B. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
(601) 351-5980
Mailing address
PO BOX 16870, JACKSON, MS 39236-6870
(601) 354-4488
(601) 351-5980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9816
TN
225100000X
Physical Therapist
Primary
PT5272
MS
Other
Enumeration date
08/23/2013
Last updated
07/19/2021
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