Individual
DR. KELLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(949) 292-7629
Mailing address
5121 COTTONWOOD STREET, MURRAY, UT 84157
(949) 292-7629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3894
ID
Other
Enumeration date
02/17/2015
Last updated
08/24/2016
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