Individual
MS. CHERYL RENAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2008023637
MO
225100000X
Physical Therapist
Primary
LPT-008605
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480057382
—
MO
Enumeration date
05/06/2008
Last updated
11/03/2023
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