Organization
PHYSICAL THERAPY SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNY DALE SMITH PT, DHSC, OCS, SCS, (PRESIDENT CEO)
(423) 543-0073
Entity
Organization
Contact information
Practice address
1975 W ELK AVE STE 1, ELIZABETHTON, TN 37643-3787
(423) 543-0073
(423) 543-1277
Mailing address
1975 W ELK AVE STE 1, ELIZABETHTON, TN 37643-3787
(423) 543-0073
(423) 543-1277
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446517
—
TN
05
—
4088991
—
TN
Enumeration date
08/09/2006
Last updated
01/11/2021
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