Individual
MRS. AMY SUZETTE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
111 WEAKLEY CREEK RD, LAWRENCEBURG, TN 38464-2237
(931) 766-4021
(931) 766-4022
Mailing address
111 WEAKLEY CREEK RD, LAWRENCEBURG, TN 38464-2237
(931) 766-4021
(931) 766-4022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5740
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3653669
—
TN
01
—
4001104
BCBS
TN
Enumeration date
12/15/2005
Last updated
07/08/2007
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