Provider Demographics
NPI:1417209545
Name:NAPLES, SAMUEL MICHAEL (LMT)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:MICHAEL
Last Name:NAPLES
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-2406
Mailing Address - Country:US
Mailing Address - Phone:484-892-9891
Mailing Address - Fax:
Practice Address - Street 1:34 W 4TH ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-2406
Practice Address - Country:US
Practice Address - Phone:484-892-9891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-13
Last Update Date:2012-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG005035225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist