Individual
CHAZ SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10165 E HAMPTON AVE STE 111, MESA, AZ 85209-3327
(480) 354-5424
Mailing address
9707 E TWINKLE AVE, MESA, AZ 85212-2189
(480) 241-6947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32984
AZ
225100000X
Physical Therapist
—
AZ
Other
Enumeration date
06/19/2023
Last updated
06/16/2025
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