Individual
MRS. TINA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT, NCTMB
Contact information
Practice address
505 BRIARWOOD DR, L8, ENTERPRISE, AL 36330-5029
(344) 255-7169
(334) 255-7173
Mailing address
505 BRIARWOOD DR, L8, ENTERPRISE, AL 36330-5029
(334) 341-4514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23837
AL
225700000X
Massage Therapist
33.010538
OH
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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