Jackie L Smith, P.T., D.P.T.
NPI #1710345780 in Fulton, Mississippi
Provider Information
- NPI Number
- 1710345780
- Entity Type
- Individual
- Name
- Jackie L Smith, P.T., D.P.T.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- P.T., D.P.T.
- Enumeration Date
- Feb 5, 2016
- Last Updated
- Mar 13, 2017
Practice Location
- Address
- 1110 S ADAMS ST
- City
- Fulton
- State
- Mississippi
- ZIP Code
- 38843-8952
- Phone
- (662) 862-4104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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