Individual
MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3524 KALISTE SALOOM RD STE 205, LAFAYETTE, LA 70508-7638
(337) 993-2766
(337) 993-2764
Mailing address
3524 KALISTE SALOOM RD STE 205, LAFAYETTE, LA 70508-7638
(337) 993-2766
(337) 993-2764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9749
LA
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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