Individual
TRAVIS LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 RANDOLPH ST, RADFORD, VA 24141-2430
(540) 633-3708
Mailing address
700 RANDOLPH ST, RADFORD, VA 24141-2430
(540) 633-3708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603441
VA
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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