Kenneth W Smith P.T.

NPI 1184773954 - Physical Therapist - 225100000X

NPI Details
NPI 1184773954
Gender Male
Enumeration Date 01/09/2007
Last Updated 10/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1251 NE ELM ST
STE 2-A
PRINEVILLE OR, 97754-1206, US
Phone (541) 447-6846
Fax (541) 447-1243
Business Location
1251 NE ELM ST
STE 2-A
PRINEVILLE OR, 97754-1206, US
Phone (541) 447-6846
Fax (541) 447-1243
Toxanomy
Taxonomy Code 225100000X
License State Oregon
License Number 0963
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According to our database, Mr. Kenneth W Smith P.T. NPI is 1184773954, taxonomy code is 225100000X and license number is 0963, license state is located at Oregon. Kenneth W Smith P.T. physically located at 1251 Ne Elm St, Prineville OR, 97754-1206. NPI Number Kenneth W Smith P.T. has the Individual type.

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1184773954 NPI number is provided on an as is basis without warranty of any kind. 1184773954 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth W Smith P.T. are for informational purposes only.