Individual
KENDRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1127 QUEENSBOROUGH BLVD. SUITE 104, MT. PLEASANT, SC 29464-1124
(843) 216-0290
Mailing address
13336 INDUSTRIAL RD STE 105, OMAHA, NE 68137-1124
(402) 330-3211
(402) 330-5970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4027
NE
Other
Enumeration date
10/07/2019
Last updated
01/31/2021
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