Individual
SAMYUKTA KAPPAGANTULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
PLAZA CT, 11 FIVE FORKS RD SUITE C, PLAZA CT, SIMPSONVILLE, SC 19681
(864) 561-9712
Mailing address
212 DOTHAN CT, GREENVILLE, SC 29607-6418
(864) 561-9712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12594
SC
225100000X
Physical Therapist
26957
MD
Other
Enumeration date
05/30/2018
Last updated
01/27/2026
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