Individual
JERRY BENTLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 PRISON CONNECTOR, SANDY HOOK, KY 41171-7010
(606) 738-6133
Mailing address
295 DELONG RD, HAGERHILL, KY 41222-9015
(606) 738-6133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00687
KY
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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