Individual
KAYLA SARINA SMITHBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
645 N CHURCH ST, ELKHORN, WI 53121-2204
(262) 723-4963
Mailing address
2900 ROOT RIVER PKWY, WEST ALLIS, WI 53227-2924
(608) 217-9907
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
13044
WI
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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