Individual
TODD SMOTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1055 JORDAN CREEK PKWY STE 100, WEST DES MOINES, IA 50266-5821
(515) 358-5950
(515) 358-5951
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-5950
(515) 358-5951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01954
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0453647
—
IA
05
—
1453647
—
IA
05
—
4453647
—
IA
Enumeration date
08/19/2006
Last updated
01/14/2020
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