Mark David Smith, PT

NPI #1316995525 in Rice Lake, Wisconsin

Provider Information

NPI Number: 1316995525
Entity Type: Individual
Name: Mark David Smith, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 4, 2006
Last Updated: Dec 16, 2024

Practice Location

Address: 2600 S WISCONSIN AVE STE A
City: Rice Lake
State: Wisconsin
ZIP Code: 54868-7527
Phone: (715) 855-0430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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