Individual
ALEXIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
16083 SW UPPER BOONES FERRY RD, TIGARD, OR 97224-7736
(800) 219-8835
Mailing address
190 PRAIRIE LN, LEITCHFIELD, KY 42754-7266
(859) 338-2097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12433
AZ
225100000X
Physical Therapist
Primary
61979
OR
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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