Individual
RACHEL NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
276 NISSAN PKWY, SUITE 400, BLDG F, CANTON, MS 39046-7006
(601) 859-3776
(601) 859-3778
Mailing address
199 BROOKMOORE DRIVE, COLUMBUS, MS 39705
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5828
MS
Other
Enumeration date
11/10/2015
Last updated
06/15/2017
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