Individual
DEKKER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
131 N OAK ST, BLACKFOOT, ID 83221-1757
(208) 684-2444
(208) 994-6714
Mailing address
1411 FALLS AVE E STE 401, TWIN FALLS, ID 83301-3455
(208) 969-9945
(208) 944-0488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7527
TX
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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