Individual
JENNIFER A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1535 44TH ST SW, WYOMING, MI 49509-4313
(616) 281-1144
(616) 530-2140
Mailing address
2120 43RD ST SE, SUITE 100, GRAND RAPIDS, MI 49508-3772
(616) 281-1144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010833
MI
Other
Enumeration date
04/14/2006
Last updated
02/02/2016
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