Individual
MICHANNE SMIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3701 WASHINGTON AVE, EVANSVILLE, IN 47714-0544
(812) 476-3360
Mailing address
8422 OAK ST, NEWBURGH, IN 47630-8901
(812) 454-2949
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003956A
IN
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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