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Individual

JUSTIN SMITH

Active
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Individual

JUSTIN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
11-06331
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11-06331
KANSAS PHYSICAL THERAPY LICENSE
KS
Enumeration date
02/03/2023
Last updated
07/18/2025
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