Individual
MISS AMY ELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-9224
Mailing address
10019 COUNTY ROAD 6950, LUBBOCK, TX 79407-6405
(682) 438-1418
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1115988
TX
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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