Provider Demographics
NPI:1871765248
Name:ISENBERGER, SAMANTHA KAY (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MISS
First Name:SAMANTHA
Middle Name:KAY
Last Name:ISENBERGER
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10 MERCHANTS ROW
Mailing Address - Street 2:#330
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-1421
Mailing Address - Country:US
Mailing Address - Phone:802-388-0228
Mailing Address - Fax:
Practice Address - Street 1:10 MERCHANTS ROW
Practice Address - Street 2:#330
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-1421
Practice Address - Country:US
Practice Address - Phone:802-388-0228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist