Individual
KELLI PATRICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
150 E. SONTERRA BLVD, SUITE 300, SAN ANTONIO, TX 78258
(210) 489-7270
(210) 403-2445
Mailing address
150 E. SONTERRA BLVD, SUITE 300, SAN ANTONIO, TX 78258
(210) 489-7270
(210) 403-2445
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3101920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7419883
AETNA
—
01
—
8T6673
BCBS OF TEXAS
—
Enumeration date
08/17/2006
Last updated
10/26/2007
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