Derek Lee Smith, PTA

NPI #1487111969 in Warsaw, Missouri

Provider Information

NPI Number
1487111969
Entity Type
Individual
Name
Derek Lee Smith, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Feb 21, 2019
Last Updated
Feb 21, 2019

Practice Location

Address
204 SEMINARY ST
City
Warsaw
ZIP Code
65355
Phone
(660) 438-6993

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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