Individual
MR. JERRY ARTHUR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT ATC L
Contact information
Practice address
5603 W RAYMOND ST, SUITE D REHAB, INDIANAPOLIS, IN 46241
(317) 248-7964
(317) 248-5006
Mailing address
4850 W CENTURY PLAZA RD, INDIANAPOLIS, IN 46254
(317) 216-2828
(317) 216-2839
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001219A
IN
2255A2300X
Athletic Trainer
36000196A
IN
Other
Enumeration date
11/28/2006
Last updated
07/18/2007
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