Individual
ZACHARY THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4010 DUPONT CIR STE L14, LOUISVILLE, KY 40207-4825
(502) 899-1911
Mailing address
1805 TREVILIAN WAY, LOUISVILLE, KY 40205-2058
(859) 753-5249
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008356
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922771989
—
KY
Enumeration date
07/27/2021
Last updated
10/22/2021
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