Individual
ELLEN P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13937 S SPRAGUE LN STE 100, DRAPER, UT 84020-7864
(385) 308-8034
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 315-9900
(303) 315-9902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0014957
CO
225100000X
Physical Therapist
Primary
PTL.0014957
CO
2251S0007X
Sports Physical Therapist
PTL.0014957
CO
Other
Enumeration date
06/26/2017
Last updated
12/20/2022
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