Individual
RICHARD MARVIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3880 W HEDBERG RD, SMOLAN, KS 67456-8014
(785) 668-2031
Mailing address
3880 W HEDBERG RD, SMOLAN, KS 67456-8014
(785) 668-2031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02591
KS
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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