Individual
HALEY A SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070024031
IL
225100000X
Physical Therapist
Primary
15991
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100307759
—
WI
Enumeration date
05/08/2018
Last updated
04/15/2025
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