Individual
MR. GARY T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
3602 E GREENWAY RD, STE 106, PHOENIX, AZ 85032-4648
(602) 643-0300
(602) 643-0038
Mailing address
2919 S ELLSWORTH RD, STE 135, MESA, AZ 85212-2168
(480) 967-6888
(480) 967-6887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3899
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497009
—
AZ
Enumeration date
11/08/2005
Last updated
02/02/2021
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