Individual
JERANY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 W 5300 S STE 150, MURRAY, UT 84123-5684
(801) 263-0530
Mailing address
642 E HOLLYWOOD AVE, SALT LAKE CITY, UT 84105-3025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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