Individual
MR. RICHARD KEITH SMITHDEAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
JAMES QUILLEN VAMC, BLD 200 RMS(117), MOUTAIN HOME, TN 37684
(423) 926-1171
(423) 979-3618
Mailing address
125 CROCKETT LN, ELIZABETHTON, TN 37643-5967
(423) 676-7785
(423) 979-3618
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1374
—
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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