Individual
CHRISTOPHER JOHN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
100 SAN CARLOS RD, PUEBLO, CO 81005-2651
(719) 564-2370
Mailing address
30385 COUNTY FARM RD., PUEBLO, CO 81006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013540
CO
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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