Individual
KENNETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6450 S BOSTON ST, GREENWOOD VILLAGE, CO 80111-5336
(303) 224-9455
Mailing address
6450 S BOSTON ST, GREENWOOD VILLAGE, CO 80111-5336
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015303
CO
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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