Individual
ALEX N SMITHBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D-PT
Contact information
Practice address
311 N 3RD AVE, STURGEON BAY, WI 54235-2401
(920) 743-0255
(920) 743-6680
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14166-24
WI
Other
Enumeration date
05/16/2018
Last updated
11/23/2020
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