Individual
CALEB SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1957 ALVIN RICKEN DR, POCATELLO, ID 83201-2727
(208) 235-7800
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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