Individual
MRS. DIANNA MAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
605 N MAIN ST, ELLINWOOD, KS 67526-1440
(620) 564-2548
(620) 564-3033
Mailing address
272 SE 56 AVE, GREAT BEND, KS 67530-8858
(620) 564-2739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00771
KS
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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