Individual
AUSTIN CHASE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13915 MOPAC SERVICE RD, #200, AUSTIN, TX 78728
(941) 223-0045
Mailing address
13915 MOPAC SERVICE RD, #200, AUSTIN, TX 78728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-2150133
TX
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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