Individual
JEFFREY TYLER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
9145 GOVERNORS WAY, CINCINNATI, OH 45249-2037
(859) 867-1109
Mailing address
11 BOONE ST, BROMLEY, KY 41016-1201
(859) 867-1109
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
007520
OH
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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