Individual
RICHARD J SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
721 DUNAWAY LN, AZLE, TX 76020-2605
(817) 444-2536
Mailing address
721 DUNAWAY LN, AZLE, TX 76020-2605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2074990
TX
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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