Individual
BRAWN DEWAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1401 E LEE ST, REPUBLIC, MO 65738-1283
(417) 207-1469
Mailing address
1401 E LEE ST, REPUBLIC, MO 65738-1283
(417) 229-1606
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2012023659
MO
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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