Provider Demographics
NPI:1649782749
Name:MORRISON, SAMANTHA LEE (PT, DPT, CSMT)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:LEE
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PT, DPT, CSMT
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:LEE
Other - Last Name:VANRANKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:612 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-2402
Mailing Address - Country:US
Mailing Address - Phone:620-213-1802
Mailing Address - Fax:
Practice Address - Street 1:3009 SW TOPEKA BLVD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2122
Practice Address - Country:US
Practice Address - Phone:785-273-1379
Practice Address - Fax:785-273-1047
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-05187225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist