Individual
MICHAEL C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, CSCS
Contact information
Practice address
275 N 300 W STE 403, KAYSVILLE, UT 84037-1880
(801) 546-6868
Mailing address
1243 LARCHMONT WAY, LAYTON, UT 84041-8130
(801) 444-9558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3578042401
UT
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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