Individual
MATTHEW ALAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
202 KIDD DR, SUITE 3, BEREA, KY 40403-7000
(859) 228-0201
(859) 228-0206
Mailing address
383 CORBIN CENTER DR, CORBIN, KY 40701-1895
(606) 526-2934
(606) 526-2901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004993
KY
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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