Individual
PAMELA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS
Contact information
Practice address
1250 S VALLEY VIEW BLVD, LAS VEGAS, NV 89102-1855
(702) 877-8898
Mailing address
10912 SALFORD DR, LAS VEGAS, NV 89144-4498
(702) 243-6046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7029523653
LICENSE #
NV
Enumeration date
08/29/2006
Last updated
10/28/2012
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