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Individual

NATILEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1500 TRAILHEAD CT, GREENVILLE, SC 29617-6226
(864) 371-3100
Mailing address
355 PELHAM RD APT 7208, GREENVILLE, SC 29615-3292

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5245
SC
225200000X
Physical Therapy Assistant
A03523
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5245
PHYSICAL THERAPIST ASSISTANT
SC
01
A03523
PHYSICAL THERAPIST ASSISTANT
KY
Enumeration date
07/25/2024
Last updated
07/25/2024
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