Individual
SAMUEL WRIGHT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6803 W TAFT AVE STE 303, WICHITA, KS 67209-2365
(316) 347-7969
Mailing address
1140 S GLENN ST, WICHITA, KS 67213-3708
(316) 210-1529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06280
KS
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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