Individual
SAMANTHA MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1595 S US HIGHWAY 231, BEAVER DAM, KY 42320-9463
(270) 274-9646
Mailing address
1595 S US HIGHWAY 231, BEAVER DAM, KY 42320-9463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005871
KY
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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