Individual
KATIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
214 W 27TH ST, SCOTTSBLUFF, NE 69361-4306
(308) 633-2900
(308) 575-0334
Mailing address
3201 17TH AVE, SCOTTSBLUFF, NE 69361-1806
(308) 641-1364
(308) 575-0334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2843
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026150800
—
NE
Enumeration date
12/06/2010
Last updated
08/24/2023
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