Individual
MR. MATTHEW EDWIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(208) 899-3724
Mailing address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(208) 899-3724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10529
MN
225100000X
Physical Therapist
11-06915
KS
225100000X
Physical Therapist
1694
ND
225100000X
Physical Therapist
25955
MA
225100000X
Physical Therapist
301958
CA
225100000X
Physical Therapist
4722
NV
225100000X
Physical Therapist
5501301784
MI
225100000X
Physical Therapist
61680
OR
225100000X
Physical Therapist
Primary
PT-1901
ID
225100000X
Physical Therapist
PT6056
NM
225100000X
Physical Therapist
PT6071
ME
225100000X
Physical Therapist
PTH10586
AL
225100000X
Physical Therapist
PTP-PT-LIC-13927
MT
Other
Enumeration date
09/11/2006
Last updated
06/08/2022
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