Doctor Name: | MS. SAMANTHA MARIE CAMPBELL |
NPI Number: | 1649491325 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC, CSCS, LMT |
License Number: | MAT-12265 |
Business Practice Address: | 810 Kokomo Rd Suite 159 Haiku, HI - 967085075 |
Business Phone Number: | 8082148224 |
Business Fax Number: | |
Mailing Address: | Po Box 81536, HAIKU |
State: | HI |
Postal Code: | 967081536 |
Phone Number: | 8082148224 |
Fax Number: | 8084421140 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 05/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MAT-12265 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |