Individual
SHERISE R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
505 E CAPOVILLA AVE, SUITE 105, LAS VEGAS, NV 89119-4340
(866) 466-1912
Mailing address
505 E CAPOVILLA AVE, SUITE 105, LAS VEGAS, NV 89119-4340
(866) 466-1912
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
485
NV
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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