Individual
COURTNEY CUSICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10374 S WALNUT CANYON LN, SOUTH JORDAN, UT 84009-7105
(801) 486-6643
Mailing address
10374 S WALNUT CANYON LN, SOUTH JORDAN, UT 84009-7105
(801) 486-6643
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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