Individual
DR. JAYSON PHILLIPS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1015 LEE DR, SUITE 1 B, CLARKSDALE, MS 38614-3698
(662) 624-2466
(662) 624-4876
Mailing address
2822 PINNACLE DR, SOUTHAVEN, MS 38672-6324
(334) 233-4960
(662) 624-4876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3961
MS
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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