Individual
MICAH BROOKE WOODS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 SOUTH BROOKS AVE, PELAHATCHIE, MS 39145-0001
(601) 759-5006
(601) 759-5014
Mailing address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
(601) 898-3699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7551
MS
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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