Individual
TODD MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
950 E COUNTY LINE RD, SUITE D, RIDGELAND, MS 39157-1928
(601) 899-0002
(601) 899-0088
Mailing address
950 E COUNTY LINE RD, SUITE D, RIDGELAND, MS 39157-1928
(601) 899-0002
(601) 899-0088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3952
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06225721
—
MS
Enumeration date
08/22/2006
Last updated
09/22/2015
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