Individual
JOHN THOMAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
22208 W 51ST ST, SHAWNEE, KS 66226-3864
(913) 441-8225
Mailing address
22208 W 51ST ST, SHAWNEE, KS 66226-3864
(913) 441-8225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3618
KS
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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