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Individual

CARRIE LEIGH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
2166 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2440
(573) 712-2696
(573) 712-2991
Mailing address
2166 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2440
(573) 712-2696
(573) 712-2991

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012027934
MO
225100000X
Physical Therapist
2944
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162167721
AR
Enumeration date
05/14/2007
Last updated
03/09/2026
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