Individual
JESSICA RAEANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
140 NORTHWOOD ST APT 221, SIDNEY, OH 45365-1563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011368
OH
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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