Individual
JAY ARTHUR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2226 MARKET ST, STE C, MOUNT VERNON, WA 98273-5451
(360) 428-6677
(360) 428-7635
Mailing address
PO BOX 1789, MOUNT VERNON, WA 98273-1789
(360) 428-6677
(360) 428-7635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8343816
—
WA
Enumeration date
10/24/2005
Last updated
07/10/2018
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