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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL KULLEN MANCIL

Active Sole Proprietor

SAMUEL KULLEN MANCIL is a Physical Therapy Assistant healthcare provider located in LAKE CHARLES, Louisiana. NPI 1679271977 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE CHARLES, LA

Registration Details

NPI Number
1679271977
Provider Type
Individual
Gender
Male
NPI Issued
Feb 16, 2023 (3.5032627918981 yrs)
Last Updated
Feb 16, 2023
License
11254 (LA)
Sole Proprietor
Yes

Practice Information

Address
208 W MCNEESE ST
LAKE CHARLES, LA, 706055638
Browse LA providers · Browse ZIP 70605
Phone
3378245488
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LAKE CHARLES, LA

Name Credential NPI
LAURIE ANN CALLABA PT 1427036300
SARAH ELIZABETH MECHE PT 1336127216
MR. KERRY LAMKIN P.T. 1497728463
MR. JASON P ZERINGUE P.T. 1386612554
PROF. ROBERT NOLAN BRUCE PT 1306895958
SHANNON C JOHNSON PT 1740226471
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.