Samantha Maria Neeley, LMT, LPN

Individual provider Active NPI Massage Therapist · Park Hills, MO

NPI 1306785191 · NPPES record last updated Mar 26, 2026

Key facts

NPI
1306785191
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
2026010558 (MO)
Practice address
512 E Main St Ste 512a
Park Hills, MO 63601-2624
Phone
(314) 380-0085
NPI assigned
Mar 26, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2026010558MOMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2026010558 MO Yes

Addresses

Primary practice location

512 E Main St Ste 512a
Park Hills, MO 63601-2624

Mailing address

400 Court St
Park Hills, MO 63601-3702
Phone (573) 713-8596

Other providers in Park Hills, MO

All providers in Park Hills, MO · Massage Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.