| Doctor Name: | LEAH A. SAMUELSON |
| NPI Number: | 1316315161 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T., D.P.T. |
| License Number: | 4720 |
| Business Practice Address: | 208 W D L Ingram Blvd Cannon Afb, NM - 881035103 |
| Business Phone Number: | 5757847772 |
| Business Fax Number: | |
| Mailing Address: | 8105 Delaware Ct, Apt B CLOVIS |
| State: | NM |
| Postal Code: | 881018782 |
| Phone Number: | 7039811951 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2015 |
| NPI Last Update Date: | 09/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4720 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |