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Individual

STEVEN EDWARD SMYSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.T.A.

Contact information

Practice address
814 W SOUTH AVE, MARYVILLE, MO 64468-2772
(660) 582-8161
Mailing address
1011 W 19TH ST, MARYVILLE, MO 64468-1423
(660) 582-1301

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2002030703
MO

Other

Enumeration date
04/15/2019
Last updated
04/15/2019
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