Individual
EDWIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
992 LINKS DR APT 8, JONESBORO, AR 72404-0791
(501) 216-8023
Mailing address
992 LINKS DR APT 8, JONESBORO, AR 72404-0791
(501) 216-8023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4362
AR
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/25/2015
Last updated
09/14/2018
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