Individual
KRISTIE A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
50 E HICKMAN RD, WAUKEE, IA 50263-5011
(515) 216-2999
(515) 216-2990
Mailing address
50 E HICKMAN RD, WAUKEE, IA 50263-5011
(515) 471-9720
(515) 471-9725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03189
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053631887
—
IA
01
—
P01308570
RR MEDICARE
IA
Enumeration date
06/03/2010
Last updated
06/24/2014
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