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NPI Code Detail

MEDICARE: MRS. SAMANTHA LAFAYE HOLLINGSHEAD DPT

MEDICARE:  MRS. SAMANTHA LAFAYE HOLLINGSHEAD  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 TherapistPTH7583AL
2225100000XPhysical Therapist2305206573VA

General Provider Information

NPI Number : 1306151642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SAMANTHA LAFAYE HOLLINGSHEAD DPT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 816-492-2367
Fax Number :
Provider Business Practice Location Address
First Line : 210 FIELDSTOWN RD STE 108
Second Line :
City : GARDENDALE
State : AL
Zip : 35071-2418
Country : US
Telephone Number : 205-285-2180
Fax Number : 205-285-2181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2010
Last Update Date : 12/22/2025

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Directions to “ MRS. SAMANTHA LAFAYE HOLLINGSHEAD DPT” Practice Location

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