Individual
HEATHER NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-5510
Mailing address
815 GOSHEN VALLEY RD, CHURCH HILL, TN 37642-5038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000006264
TN
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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