Individual
AMANDA S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2030 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804-5285
(865) 982-3400
(865) 982-3400
Mailing address
PO BOX 5209, MARYVILLE, TN 37802-5209
(865) 982-3400
(865) 238-2034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8102
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8102
BOARD OF COMMUNICATION DISORDERS AND SCIENCES
TN
Enumeration date
07/07/2017
Last updated
07/07/2017
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