Individual
LISA K SMOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1000 DES PERES RD STE 130, SAINT LOUIS, MO 63131-2050
(314) 775-0189
Mailing address
1000 DES PERES RD STE 130, SAINT LOUIS, MO 63131-2050
(314) 775-0189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001023257
MO
Other
Enumeration date
11/12/2013
Last updated
11/20/2013
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