Individual
MRS. RUTHANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IECE
Contact information
Practice address
398 REBECCA ANN CT, ELIZABETHTOWN, KY 42701-4333
(270) 312-4379
Mailing address
398 REBECCA ANN CT, ELIZABETHTOWN, KY 42701-4333
(270) 312-4379
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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