Caleb Smith

NPI #1003322512 in Pocatello, Idaho

Provider Information

NPI Number: 1003322512
Entity Type: Individual
Name: Caleb Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 19, 2017
Last Updated: Dec 19, 2017

Practice Location

Address: 1957 ALVIN RICKEN DR
City: Pocatello
State: Idaho
ZIP Code: 83201-2727
Phone: (208) 235-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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