Individual
JASON KIRK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
649 W ROLLA ST, HARTVILLE, MO 65667-8221
(417) 741-6192
Mailing address
1061 MORNINGSIDE RD, SEYMOUR, MO 65746-8067
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2005033952
MO
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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