Individual
SAMANTHA STITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1111 RING RD, ELIZABETHTOWN, KY 42701-4900
(270) 706-5010
Mailing address
2735 BERRYTOWN RD, RINEYVILLE, KY 40162-9737
(270) 312-5452
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
004968
KY
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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