Individual
REBECCA M SMOTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1510 BYRUM RD, BLYTHEVILLE, AR 72315-8033
(870) 532-2600
Mailing address
1510 BYRUM RD, BLYTHEVILLE, AR 72315-8033
(870) 532-2600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2179
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161010724
—
AR
Enumeration date
05/26/2010
Last updated
07/13/2010
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