Individual
JEFFREY RYAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
2101 STONE CROFT ST, LAS VEGAS, NV 89134-2542
(702) 458-5171
Mailing address
2101 STONE CROFT ST, LAS VEGAS, NV 89134-2542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1344
NV
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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