Individual
SUSAN LIANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
176 W UNIVERSITY PKWY, JACKSON, TN 38305-1618
(731) 300-4950
(731) 300-4951
Mailing address
176 W UNIVERSITY PKWY, JACKSON, TN 38305-1618
(731) 300-4950
(731) 300-4951
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9075
TN
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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