Individual
STEPHANIE JANAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11203 MAIN ST, MARTIN, KY 41649-7999
(606) 285-6670
Mailing address
59 PERRYS TOWN RD, GARNER, KY 41817-9100
(606) 634-1765
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02406
KY
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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