Individual
JEFFREY RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
6059 E BROWN RD, MESA, AZ 85205-4453
(602) 429-3400
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
02984
IA
225100000X
Physical Therapist
Primary
12570
AZ
Other
Enumeration date
01/28/2006
Last updated
09/28/2016
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