Individual
MR. KIP A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
120 CENTRAL AVE N STE C, MILACA, MN 56353-1571
(320) 362-7900
Mailing address
120 CENTRAL AVE N STE C, MILACA, MN 56353-1571
(320) 362-7900
(855) 710-7495
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6543
MN
225100000X
Physical Therapist
9466
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306173950
—
MN
05
—
170123100
—
MN
Enumeration date
09/21/2006
Last updated
06/02/2025
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