Individual
WILLIAM JOHN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
390 PARK AVE, HAZARD, KY 41701-9548
(606) 439-2306
Mailing address
8000 LOTTS CREEK RD, HAZARD, KY 41701-9046
(606) 634-5046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003931
KY
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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