Individual
JARROD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 GAFFNEY RD STOP 7440, FORT WAINWRIGHT, AK 99703-5007
(907) 361-5603
(907) 361-4847
Mailing address
1060 GAFFNEY RD STOP 7440, FORT WAINWRIGHT, AK 99703-5007
(907) 361-5603
(907) 361-4847
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
05012233A
IN
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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