Individual
JONNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1037 E 660TH AVE, MULBERRY, KS 66756-4103
(417) 291-6610
(417) 291-6610
Mailing address
1037 E 660TH AVE, MULBERRY, KS 66756-4103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03505
KS
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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