Individual
MR. SHANE T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2500 WINCHESTER PL, SUITE 100, SPARTANBURG, SC 29301-1550
(864) 574-7282
(864) 574-7664
Mailing address
2500 WINCHESTER PL, SUITE 100, SPARTANBURG, SC 29301-1550
(864) 574-7282
(864) 574-7664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3441
SC
Other
Enumeration date
07/06/2006
Last updated
08/08/2007
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