Individual
LASHAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2136 STATELINE RD W, STE B-C, SOUTHAVEN, MS 38671-1210
(662) 582-7706
Mailing address
4942 MATTEW DR, HORN LAKE, MS 38637-8713
(662) 582-7706
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4152
MS
Other
Enumeration date
12/03/2015
Last updated
10/28/2020
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