Individual
SAMUEL IAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4240 DUNCAN AVE, SAINT LOUIS, MO 63110-1101
(314) 286-1940
(314) 286-1473
Mailing address
4544 OAKLAND AVE, SAINT LOUIS, MO 63110-1523
(314) 286-1940
(314) 286-1473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MO
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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