Healthcare Provider Details

I. General information

NPI: 1720998057
Provider Name (Legal Business Name): SAMANTHA APPLEGET PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 S WASHINGTON ST
JUNCTION CITY KS
66441-3557
US

IV. Provider business mailing address

524 W 9TH ST
JUNCTION CITY KS
66441-2204
US

V. Phone/Fax

Practice location:
  • Phone: 785-238-3747
  • Fax:
Mailing address:
  • Phone: 402-890-7842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2099
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: