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NPI Code Detail

MEDICARE: SAMUEL HADLEY DPT

MEDICARE: SAMUEL HADLEY DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist4562NV

General Provider Information

NPI Number : 1215672340
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL HADLEY DPT
Provider Business Mailing Address
First Line : 2225 N MCCARRAN BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89431-3365
Country : US
Telephone Number : 775-359-1199
Fax Number : 775-359-1195
Provider Business Practice Location Address
First Line : 2225 N MCCARRAN BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89431-3365
Country : US
Telephone Number : 775-359-1199
Fax Number : 775-359-1195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2022
Last Update Date : 06/15/2026

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Directions to “ SAMUEL HADLEY DPT” Practice Location

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