Individual
CASEY M SAMPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
904 S HALL AVE, SAVANNAH, MO 64485-1952
(816) 324-3185
Mailing address
906 N 15TH TER, SAVANNAH, MO 64485-1173
(402) 310-9549
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016030514
MO
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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