Individual
SAMUEL WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3101 BEAUMONT CENTRE CIR STE 120, LEXINGTON, KY 40513-2011
(859) 639-1200
Mailing address
1129 DUNBARTON LN, LEXINGTON, KY 40502-3844
(859) 338-2059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009504
KY
Other
Enumeration date
08/12/2025
Last updated
11/06/2025
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