Individual
TALIA JOEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
211 MORRIS ST, HOLMEN, WI 54636-9739
(608) 769-5987
Mailing address
211 MORRIS ST, HOLMEN, WI 54636-9739
(608) 769-5987
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2532-19
WI
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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