NPI
Samantha Domke
NPI 1538535844
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PT DPT
- Type
- Individual
- Enumeration date
- 2015-08-20
- Last updated
- 2024-01-31
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Specialties
Licenses
- License MI
- 5502004695
- License MI
- 5501302864
Location
- Practice location
- 2138 Fairway Dr
- City
- Davison MI
- Postal code
- 48423-8482
- Phone
- (810) 449-4234
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Davison, MI. 487 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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