NPI 1477351757

Samantha Leigh Tadlock, PTA

Practitioner Physical Therapy Assistant Simpsonville, SC

Practice location

Address: 100 Allawood CT STE 110, Simpsonville, SC 29681-6207
Phone: (864) 525-2654
Fax: (864) 757-8811
Mailing address: 1601 Ronald St, Charlotte, NC 28216-2637

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 6777 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Registry record

NPI: 1477351757
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2025
Record last updated: 4 Mar 2025

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.