Individual
ALICE SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2040
(719) 530-2041
Mailing address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2040
(719) 530-2041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0010291
CO
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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