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Individual

KATHERINA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1601 NW 114TH STREET, SUITE 155, CLIVE, IA 50325-7406
(515) 222-7350
(515) 222-7355
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7350
(515) 222-7355

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
082928
IA

Other

Enumeration date
08/29/2016
Last updated
08/29/2016
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