Individual
DAVID SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1566 W 1825 S, WOODS CROSS, UT 84087-2283
(801) 518-8540
Mailing address
1566 W 1825 S, WOODS CROSS, UT 84087-2283
(801) 518-8540
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7393554-2402
UT
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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