Individual
MRS. JAMIE NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14660 HERRIMAN BLVD, #300, NOBLESVILLE, IN 46060-4867
(317) 774-7744
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008172A
IN
Other
Enumeration date
04/26/2006
Last updated
01/10/2012
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