Richaille Smith

NPI #1194113415 in Wathena, Kansas

Provider Information

NPI Number: 1194113415
Entity Type: Individual
Name: Richaille Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jan 8, 2015
Last Updated: Jan 8, 2015

Practice Location

Address: 2112 HIGHWAY 36
City: Wathena
State: Kansas
ZIP Code: 66090-4126
Phone: (785) 989-3141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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