Individual
BLAIR ARCHBOLD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6880 CANYON DRIVE COURT, PARK CITY, UT 84098
(435) 655-8540
Mailing address
6880 CANYON DRIVE COURT, PARK CITY, UT 84098
(435) 655-8540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5244648-2401
UT
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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