Individual
MR. MICHAEL EARL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1931
ME
2255A2300X
Athletic Trainer
AT267
ME
Other
Enumeration date
03/28/2006
Last updated
02/15/2023
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