Organization
KNEETIX MOBILE PAIN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEMILLE SMITH MD (CEO)
(434) 420-0466
Entity
Organization
Contact information
Practice address
2732 ROODS CREEK RD BLDG 27, HANCOCK, NY 13783-1861
(434) 420-0466
Mailing address
2732 ROODS CREEK RD BLDG 27, HANCOCK, NY 13783-1861
(434) 420-0466
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
268111
NY
Other
Enumeration date
05/07/2018
Last updated
10/05/2023
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