Individual
MR. KERRY HOWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2265 PARR AVE, DYERSBURG, TN 38024-2078
(731) 285-6600
(731) 285-8005
Mailing address
2265 PARR AVE, DYERSBURG, TN 38024-2078
(731) 285-6600
(731) 285-8005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
330
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
04/16/2008
Last updated
01/20/2011
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