Ashenbrener, Samantha Lea

Ashenbrener, Samantha Lea is an individual health care provider with primary practice located at 754 N College Rd Ste D, Twin Falls ID 83301-5822. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ashenbrener, Samantha Lea can be contacted via phone (208) 734-5313.

Contact Information

Primary practice address
754 N College Rd Ste D Twin Falls ID 83301-5822
Phone: (208) 734-5313
Fax: (208) 736-1582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-3807 Idaho

Profile Details

NPI number 1679953962
LBN Legal business name Ashenbrener, Samantha Lea
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2015
Last updated Jul 19th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679953962 NPPES
Idaho MEDICAID 1679953962
Idaho Other P01582594

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