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Individual

MRS. NICOLE BAILEY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
820 W SUMMIT ST, WINTERSET, IA 50273-2206
(515) 462-1999
(515) 462-1191
Mailing address
4725 MERLE HAY RD, DES MOINES, IA 50322-1983
(155) 331-3190
(515) 462-1191

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03536
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
I7658
MEDICARE GROUP
IA
Enumeration date
07/11/2005
Last updated
03/19/2024
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