MRS. Tina Nicole Smith, PTA, LMT, NCTMB

NPI #1538347323 in Enterprise, Alabama

Provider Information

NPI Number: 1538347323
Entity Type: Individual
Name: MRS. Tina Nicole Smith, PTA, LMT, NCTMB
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA, LMT, NCTMB
Enumeration Date: Feb 5, 2008
Last Updated: Feb 5, 2008

Practice Location

Address: 505 BRIARWOOD DR
Address 2: L8
City: Enterprise
State: Alabama
ZIP Code: 36330-5029
Phone: (344) 255-7169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary
Massage Therapist	225700000X

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