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Individual

COOPER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
524 W 300 N STE 201, PROVO, UT 84601-2669
(801) 940-5092
Mailing address
524 W 300 N STE 201, PROVO, UT 84601-2669
(801) 940-5092

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14266676-2401
UT

Other

Enumeration date
02/05/2026
Last updated
02/05/2026
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