Individual
RICHAILLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 HIGHWAY 36, WATHENA, KS 66090-4126
(785) 989-3141
Mailing address
2112 HIGHWAY 36, WATHENA, KS 66090-4126
(785) 989-3141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04703
KS
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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