NPI 1164932745
Samantha Joylynn John, PTA
Practice location
- Address
- 34 Northcrest Dr, Council Bluffs, IA 51503-1622
- Phone
- (712) 328-2333
- Mailing address
- 12951 Hartman Ave, Omaha, NE 68164-1322
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1164932745
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Oct 2017
- Record last updated
- 9 Oct 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.