Healthcare Provider Details

I. General information

NPI: 1841119872
Provider Name (Legal Business Name): SAMANTHA BROOKE RIGSBY SMITH MS, OTR/L, CLT, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 HOMEWOOD BLVD
GLASGOW KY
42141-3468
US

IV. Provider business mailing address

103 DAVIS ST
GLASGOW KY
42141-3016
US

V. Phone/Fax

Practice location:
  • Phone: 270-651-6126
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number149033
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: