Individual
SPENCER W SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2400 MARSHALL ST, WAUSAU, WI 54403-6738
(715) 848-4300
Mailing address
1508 JELINEK AVE APT 3, SCHOFIELD, WI 54476-3525
(920) 323-1163
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2957
WI
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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