Individual
MRS. LEIGH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1205 LEITCHFIELD RD, OWENSBORO, KY 42303-0861
(270) 684-0464
Mailing address
4142 BROOKHILL DR, OWENSBORO, KY 42303-2185
(270) 685-9454
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A10373
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12504866
FACILITY NUMBER
KY
Enumeration date
11/11/2015
Last updated
11/11/2015
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