Individual
MICAH LYNETTE SMITHMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
620 THOMPSON AVE, WEST MEMPHIS, AR 72301-3257
(870) 702-4911
Mailing address
620 THOMPSON AVE, WEST MEMPHIS, AR 72301-3257
(870) 702-4911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3124
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3124
ARKANSAS STATE BOARD OF PHYSICAL THERAPY
AR
Enumeration date
02/19/2009
Last updated
05/08/2015
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