Provider Demographics
NPI:1891747838
Name:SAMSEL, KATIE A (DC)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:A
Last Name:SAMSEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 CORPORATE DR E
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-8009
Mailing Address - Country:US
Mailing Address - Phone:215-944-8424
Mailing Address - Fax:
Practice Address - Street 1:305 CORPORATE DR E
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-8009
Practice Address - Country:US
Practice Address - Phone:215-944-8424
Practice Address - Fax:267-364-5286
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor