National Provider Identifier
Samantha Anne Herendeen, PT, DPT
Samantha Anne Herendeen, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 871-9883.
Profile Overview
- NPI
- 1487111381
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 27, 2019
- Last Updated
- February 27, 2019
Practice Location
- 2900 Delaware Ave
- Kenmore, NY 14217-2309
Phone: (716) 871-9883
Mailing Address
- 12 Rose Hill Cir
- Lancaster, NY 14086-1046
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1487111381
- Entity Type
- Individual
- Last Name
- Herendeen
- First Name
- Samantha
- Middle Name
- Anne
- Credential
- PT, DPT
- Mailing Street Address
- 12 Rose Hill Cir
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-1046
- Mailing Country
- US
- Mailing Phone
- (716) 704-3704
- Practice Street Address
- 2900 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2309
- Practice Country
- US
- Practice Phone
- (716) 871-9883
- Enumeration Date
- February 27, 2019
- Last Updated
- February 27, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)