Individual
EVAN CLAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14800 W MOUNTAIN VIEW BLVD STE 260, SURPRISE, AZ 85374-4797
(623) 556-5013
(623) 556-9290
Mailing address
14800 W MOUNTAIN VIEW BLVD STE 260, SURPRISE, AZ 85374-4797
(623) 556-5013
(623) 556-9290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT32336
AZ
2251G0304X
Geriatric Physical Therapist
LPT32336
AZ
2251N0400X
Neurology Physical Therapist
LPT32336
AZ
2251S0007X
Sports Physical Therapist
LPT32336
AZ
Other
Enumeration date
05/10/2022
Last updated
05/15/2023
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