Individual
MR. BRAD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
5912 CYPRESS CREEK DR, N LITTLE ROCK, AR 72116-6355
(501) 771-2005
(501) 771-2005
Mailing address
1908 WIGWAM CIR, CONWAY, AR 72032-4519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2570
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146840721
—
AR
Enumeration date
07/20/2006
Last updated
07/09/2007
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