Individual
ANNEMIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1 LOOGOOTEE PLZ, LOOGOOTEE, IN 47553-5757
(812) 295-3346
Mailing address
1 LOOGOOTEE PLZ, LOOGOOTEE, IN 47553-5757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003129A
IN
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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