Individual
MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3030 COLDWATER DR, BENTON, AR 72019-9618
(870) 692-0605
Mailing address
232 FRANKIE LN, WHITE HALL, AR 71602-2699
(870) 534-3420
(870) 534-4843
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4391
AR
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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