Individual
MACKENNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, OTR/L
Contact information
Practice address
109 COMMERCE ST, PARIS, TN 38242-4917
(731) 336-7352
Mailing address
178 LAYMAN RD, TRENTON, TN 38382-9762
(731) 618-2114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
7475
TN
225X00000X
Occupational Therapist
Primary
8465
TN
Other
Enumeration date
08/28/2020
Last updated
09/22/2025
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