Individual
ALISA D. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
Mailing address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12134
TN
225100000X
Physical Therapist
9585
NC
225100000X
Physical Therapist
PT013546
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12134
PHYSICAL THERAPIST
TN
Enumeration date
12/21/2005
Last updated
01/28/2021
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