Individual
MATTHEW W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7065 AIRWAYS BLVD, SUITE 110, SOUTHAVEN, MS 38671-5873
(662) 349-8997
(662) 349-8987
Mailing address
7065 AIRWAYS BLVD, SUITE 110, SOUTHAVEN, MS 38671-5873
(662) 349-8997
(662) 349-8987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3511
MS
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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