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Individual

SCOTT STUART SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
507 W DOUGHTY ST, LAKE CITY, MN 55041-1500
(651) 345-2350
(651) 345-2238
Mailing address
507 W DOUGHTY ST, LAKE CITY, MN 55041-1500
(651) 345-2350
(651) 345-2238

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305210973
VA
225100000X
Physical Therapist
Primary
9547
MN

Other

Enumeration date
06/15/2010
Last updated
05/20/2020
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