Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Henderson

Individual provider Physical Therapy Assistant · NPI 1306536164

Samantha Henderson is a Physical Therapy Assistant in De Queen, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2023

Practice location Address checks out

300 W Collin Raye Dr Spc 106
De Queen, AR 71832-2007
Phone: (870) 584-1085
Fax: (870) 584-1095
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA4811 (AR)

Record details

NPI number1306536164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 15, 2023
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023
Mailing address300 W Collin Raye Dr Spc 106, De Queen, AR 71832-2007

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