Individual
DANNA RAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0016217
CO
225100000X
Physical Therapist
1559
SD
225100000X
Physical Therapist
3034
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47651
BCBS
NE
Enumeration date
07/24/2011
Last updated
04/03/2019
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