Individual
HOLLY NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7600 ANTIOCH RD, OVERLAND PARK, KS 66204-2622
(913) 383-2001
Mailing address
1016 SW BLAZING STAR DR, LEES SUMMIT, MO 64081-3795
(602) 918-6918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03996
KS
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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