Individual
JESSICA SMITH
Active
Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11917
TN
2251P0200X
Pediatric Physical Therapist
Primary
11917
TN
2251P0200X
Pediatric Physical Therapist
PTH6961
AL
Other
Enumeration date
12/10/2013
Last updated
08/26/2026
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