Individual
KYLE LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1071 W BLUE STARR DR, CLAREMORE, OK 74017-2868
(918) 342-3800
(918) 342-3900
Mailing address
1071 W BLUE STARR DR, CLAREMORE, OK 74017-2868
(918) 342-3800
(918) 342-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5183
OK
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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