Individual
LORETTA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
993 E COLLEGE ST, PULASKI, TN 38478-4432
(931) 363-3572
Mailing address
901 HOLT RD, PULASKI, TN 38478-6912
(423) 443-1183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2632
TN
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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