Individual
MICHELLE ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1324
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0805561Y0NH01
ANTHEM
NH
01
—
101135400
ACS
NH
01
—
2486344
AETNA
NH
05
—
30393788
—
NH
01
—
387946
MVP
NH
Enumeration date
10/24/2006
Last updated
09/22/2011
Update your record
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