Individual
KARLA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1915 N 34TH ST, SUPERIOR, WI 54880-5575
(715) 399-3287
Mailing address
10653 WAYZATA BLVD, MINNETONKA, MN 55305-1528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11213
MN
225100000X
Physical Therapist
Primary
14330
WI
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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