Individual
JEREMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
120 DISTRICT BLVD STE D102, JACKSON, MS 39211-6304
(601) 345-2343
(769) 235-2751
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 777-6236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7649
MS
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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