Individual
DR. BRANDON LEE SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
190 SHADOWMEADE LN, MOUNT WASHINGTON, KY 40047-6277
(502) 538-2332
Mailing address
172 HALCOMB CT, MOUNT WASHINGTON, KY 40047-6474
(502) 904-9065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008318
KY
225100000X
Physical Therapist
TP2021029
KY
Other
Enumeration date
05/18/2021
Last updated
08/04/2021
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