Individual
CALEB SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
16130 GALVESTON RD, WEBSTER, TX 77598
(832) 426-7030
Mailing address
4802 CLOVERFIELD DR, PEARLAND, TX 77584-8633
(832) 841-9932
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2171165
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171165
TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS
TX
Enumeration date
12/04/2024
Last updated
12/04/2024
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