Provider Demographics
NPI:1518425743
Name:PEEL, SAMANTHA LAUREN (PT, DPT, LAT, ATC)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:LAUREN
Last Name:PEEL
Suffix:
Gender:F
Credentials:PT, DPT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 LOUCKS RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-7902
Mailing Address - Country:US
Mailing Address - Phone:717-764-0144
Mailing Address - Fax:717-764-0554
Practice Address - Street 1:1805 LOUCKS RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-7902
Practice Address - Country:US
Practice Address - Phone:717-764-0144
Practice Address - Fax:717-764-0554
Is Sole Proprietor?:No
Enumeration Date:2019-03-06
Last Update Date:2023-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0075072255A2300X
PA2255A2300X
PAPT031597225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer