Individual
HEATHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(402) 333-2305
Mailing address
12510 S 35TH ST, BELLEVUE, NE 68123-1803
(803) 370-6476
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1276
NE
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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