Individual
GABRIEL AE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4813 ALBEN BARKLEY DR, PADUCAH, KY 42001-6774
(270) 534-7278
(270) 534-7279
Mailing address
3744 BEYER LN, PADUCAH, KY 42001-4419
(270) 519-1143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004496
KY
Other
Enumeration date
05/27/2007
Last updated
07/08/2007
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