Individual
MISTY RENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5934 COUNTY ROAD 289, SWEENY, TX 77480-4024
(979) 533-9158
Mailing address
5934 COUNTY ROAD 289, SWEENY, TX 77480-4024
(979) 533-9158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2071171
TX
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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