Individual
TODD MARTIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1685 W 2200 S, WEST VALLEY CITY, UT 84119-1456
(801) 678-3297
Mailing address
485 S STATE ST APT 104, PROVO, UT 84606-7123
(435) 632-2141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11644938-2401
UT
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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