Individual
LESLEY W. SMOTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
216 JOHNSTON ST SE, DECATUR, AL 35601-2516
(256) 686-2212
(256) 686-3470
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4106
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
NPI GROUP
AL
05
—
529917620
—
AL
Enumeration date
03/26/2010
Last updated
11/18/2019
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