Provider Demographics
NPI:1326618240
Name:CABE, SAMUELL LEYTON (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:SAMUELL
Middle Name:LEYTON
Last Name:CABE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9220 HIGHWAY 71 S STE 4
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72916-9151
Mailing Address - Country:US
Mailing Address - Phone:479-484-1100
Mailing Address - Fax:479-484-1105
Practice Address - Street 1:9220 HIGHWAY 71 S STE 4
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-9151
Practice Address - Country:US
Practice Address - Phone:479-484-1100
Practice Address - Fax:479-484-1105
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4945208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation