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Individual
MR. TIMOTHY BLAINE SMITH
Active
Individual
MR. TIMOTHY BLAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003193
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14190
OPTIMA HEALTH
VA
01
—
21148
UNICARE
VA
01
—
23591
CARE NET
VA
01
—
280507
MAMSI
VA
01
—
282730
BLUE CROSS BLUE SHIELD
VA
01
—
5498308
AETNA
VA
01
—
65549
SOUTHERN HEALTH
VA
Enumeration date
08/26/2005
Last updated
07/13/2026
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