Individual
BARRY TRAVIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
17919 RANKIN AVE STE G, DUNLAP, TN 37327-7040
(423) 949-7899
(423) 949-3416
Mailing address
4700 UPPER EAST VALLEY RD, PIKEVILLE, TN 37367-3824
(423) 533-4002
(423) 533-4002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000006392
TN
2255A2300X
Athletic Trainer
0000000634
TN
Other
Enumeration date
10/02/2006
Last updated
02/02/2015
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