NPI 1558255471

Samantha Irish, CPED

Practitioner Pedorthist Mesa, AZ

Practice location

Address: 8050 E Germann Rd, Mesa, AZ 85212
Phone: (520) 990-5728
Mailing address: 10563 E Carolina Willow Ln, Tucson, AZ 85747-9538

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED4668 (AZ)

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Registry record

NPI: 1558255471
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2025
Record last updated: 5 Jun 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.