Sampson, Carly Briann

Sampson, Carly Briann is an sole proprietor health care provider with primary practice located at 1102 W Hayden Ave Suite A, Hayden ID 83835. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Sampson, Carly Briann can be contacted via phone (208) 620-7150.

Contact Information

Primary practice address
1102 W Hayden Ave Suite A Hayden ID 83835
Phone: (208) 620-7150
Fax: (208) 620-7120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00024004 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MAS4614 Idaho

Profile Details

NPI number 1972791556
LBN Legal business name Sampson, Carly Briann
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2007
Last updated Oct 12th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972791556 NPPES
Washington Other 0222574 WA DEPT.LABOR&INDUSTRIES

Popular Providers