Individual
KATIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1909 N 14TH AVE, DODGE CITY, KS 67801-2364
(620) 338-8633
Mailing address
1909 N 14TH AVE, DODGE CITY, KS 67801-2364
(620) 338-8633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03858
KS
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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