Individual
BO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501303506
MI
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
09/13/2024
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