Individual
MRS. KATIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1552 COUNTRY CLUB PLAZA DR UNIT 15700, SAINT CHARLES, MO 63303-3859
(636) 724-1127
(815) 314-5112
Mailing address
925 PARKCREST DR, SAINT CHARLES, MO 63301-1162
(815) 579-6914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
09/21/2022
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