MR. Kenneth W Smith, P.T.

NPI #1184773954 in Prineville, Oregon

Provider Information

NPI Number
1184773954
Entity Type
Individual
Name
MR. Kenneth W Smith, P.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
P.T.
Enumeration Date
Jan 9, 2007
Last Updated
Oct 9, 2007

Practice Location

Address
1251 NE ELM ST
Address 2
STE 2-A
State
Oregon
ZIP Code
97754-1206
Phone
(541) 447-6846

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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