Individual
JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
106 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 769-0058
Mailing address
123 GETTYSBURG DR, HODGENVILLE, KY 42748-1847
(270) 234-4905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002546
KY
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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