Individual
CHASE ALLEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1001 HOSPITAL RD, STARKVILLE, MS 39759-2125
(662) 323-6360
Mailing address
302 SPRING ST APT 2H, STARKVILLE, MS 39759-5301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA7238
MS
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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