Individual ProviderSamantha GriffithSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1450 Alta Vista St, Dubuque, IA 52001-4399(563) 588-7053(641) 521-3324PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Griffith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:50 AM.Profile DetailsProvider ID1124758370Provider TypeIndividualFull NameGriffith, SamanthaCredentialLAT, ATC, MSGenderFemaleSole ProprietorYesEnumeration Date6/11/2022Last Updated6/11/2022Contact InformationPractice LocationPractice Address1450 Alta Vista St, Dubuque, IA 52001-4399Phone(563) 588-7053FaxUnlisted FaxMailing LocationMailing Address500 E 12th St N, Newton, IA 50208-2326Phone(641) 521-3324FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense075091