Individual
JARED EUGENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
680 E HOSPITAL DR, CORTEZ, CO 81321-6200
(970) 564-1122
Mailing address
1322 FLORIDA RD APT 9, DURANGO, CO 81301-6207
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012887
CO
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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