Tiesha Smith

NPI #1437513553 in Normal, Illinois

Provider Information

NPI Number
1437513553
Entity Type
Individual
Name
Tiesha Smith
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist - Prosthetics Case Management
Enumeration Date
Apr 6, 2016
Last Updated
Apr 6, 2016

Practice Location

Address
1800 ROCKINGHAM DR
Address 2
APT 1D
City
Normal
ZIP Code
61761
Phone
(309) 310-5918

Specialties & Taxonomy Codes

Specialty
Specialist - Prosthetics Case ManagementProsthetics Case Management

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