Individual provider · NPI-1

Samantha Lynn Braun, DO

Physical Medicine & Rehabilitation · Salt Lake City, UT

NPI number1417537499
StatusActive
Last updated in NPPESJul 3, 2025

Details

NPI
1417537499
Entity type
Individual (NPI-1)
Name
Samantha Lynn Braun
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Apr 13, 2021
Certification date
Jul 3, 2025
Last updated
Jul 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation14207070-1204UTYes
207LP2900X Anesthesiology, Pain Medicine14207070-1204UT

Practice location

Helix: 30 N Mario Capechhi Dr Rm 5n200
Salt Lake City, UT 84112

Phone 801-581-2121

Mailing address

Helix: 30 N Mario Capechhi Dr Rm 5n200
Salt Lake City, UT 84112

Phone 801-581-2121

Other practice locations

4502 Medical Dr
San Antonio, TX 78229-4402

Phone 210-567-5359

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