Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sam-Ath Sao McDaniel, PTA

Individual provider Physical Therapy Assistant · NPI 1265631212

Sam-Ath Sao McDaniel, PTA is a Physical Therapy Assistant in Ridgeland, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (800) 517-6935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA4222 (MS)

Record details

NPI number1265631212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 11, 2007
Last updated in NPPESJuly 11, 2007
Mailing address711 Avignon Dr, Ridgeland, MS 39157-5120

Other providers in Ridgeland