Individual
KIMBERLY C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1000 N OAK AVENUE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9655-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40361300
—
WI
Enumeration date
11/24/2006
Last updated
05/28/2024
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