Individual
KATIE MARIE SMYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5910 GARNERS FERRY RD, COLUMBIA, SC 29209-1301
(803) 783-0684
(803) 783-1147
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5782
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5782
LICENSE
SC
Enumeration date
07/31/2008
Last updated
11/11/2020
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