Individual
JIMMY DALE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11751 ALTA VISTA RD STE 301, FORT WORTH, TX 76244-6443
(817) 337-3400
Mailing address
311 CHISHOLM TRL, KRUM, TX 76249-7178
(940) 736-1815
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3124138
TX
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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