Organization
SACRAMENTO SPINE & PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS R SMITH (OWNER)
(916) 932-1210
Entity
Organization
Contact information
Practice address
1650 LEAD HILL BLVD, 300, ROSEVILLE, CA 95661-3061
(916) 677-1210
Mailing address
1650 LEAD HILL BLVD, 300, ROSEVILLE, CA 95661-3061
(916) 677-1210
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ18195Z
MEDICARE PTAN
CA
Enumeration date
11/30/2006
Last updated
11/20/2015
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