Individual
NICHOLAS KEATON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6880 US HIGHWAY 90 STE 10, DAPHNE, AL 36526-9522
(251) 210-2901
(251) 210-2902
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 803-9155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10953
AL
Other
Enumeration date
08/11/2022
Last updated
03/23/2023
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