Individual
KRISTEN ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9900 PINTO DR W, FLAGSTAFF, AZ 86004-9740
(928) 774-7106
Mailing address
9900 PINTO DR W, FLAGSTAFF, AZ 86004-9740
(928) 774-7106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6365A
AZ
225200000X
Physical Therapy Assistant
PTA-459
WY
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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