Individual
ADAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T., CSCS
Contact information
Practice address
2885 10 MILE RD NE, ROCKFORD, MI 49341-9177
(616) 866-6300
Mailing address
2025 E WYNDHAM HILL DR NE, APT 204, GRAND RAPIDS, MI 49505-7106
(517) 648-8869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
42941
CA
225100000X
Physical Therapist
Primary
5501017646
MI
Other
Enumeration date
08/24/2015
Last updated
04/20/2016
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