Individual
ELISA C. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1301 N 184TH CT, SHORELINE, WA 98133-4538
(206) 419-7793
Mailing address
1301 N 184TH CT, SHORELINE, WA 98133-4538
(206) 419-7793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009814
WA
Other
Enumeration date
09/11/2006
Last updated
04/25/2019
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