Individual
KYLE F SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 N MILWAUKEE ST, WATERFORD, WI 53185-4432
(262) 514-2700
(262) 514-3003
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 590-4029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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