Individual
DANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
4100 MINNESOTA DR, EDINA, MN 55435-5417
(952) 456-7000
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11180
MN
2255A2300X
Athletic Trainer
2703
MN
Other
Enumeration date
05/19/2016
Last updated
11/04/2021
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