Individual
KIRSTI ELAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
944 FIELDS DR, SUITE 102, BOWLING GREEN, KY 42104-5341
(270) 495-1312
Mailing address
1062 HAMMETT HILL RD, BOWLING GREEN, KY 42101
(270) 495-1312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007014
KY
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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