Individual
JOLYNN R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA/ATC
Contact information
Practice address
6405 METCALF AVE, STE. 220, OVERLAND PARK, KS 66202-3931
(913) 871-2721
Mailing address
6405 METCALF AVE, STE. 220, OVERLAND PARK, KS 66202-3931
(913) 871-2721
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-0550
KS
225200000X
Physical Therapy Assistant
2002009370
MO
2255A2300X
Athletic Trainer
2005017782
MO
2255A2300X
Athletic Trainer
24-00448
KS
Other
Enumeration date
07/10/2006
Last updated
01/29/2010
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