Individual
JACQUELINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2207 CONCORD AVE NW STE 100, CORYDON, IN 47112-3097
(812) 738-3616
(812) 738-3619
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4914
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009798A
IN
Other
Enumeration date
03/03/2009
Last updated
04/18/2019
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