Individual
DR. BLAKE BRUCE PATRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
407 E RUSSELL AVE STE 6, WARRENSBURG, MO 64093-1242
(660) 441-3683
Mailing address
407 E RUSSELL AVE STE 6, WARRENSBURG, MO 64093-1242
(660) 441-3683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022030942
MO
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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