Kevin Smith, PT

NPI #1790140507 in Clive, Iowa

Provider Information

NPI Number: 1790140507
Entity Type: Individual
Name: Kevin Smith, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 21, 2015
Last Updated: Mar 28, 2018

Practice Location

Address: 12493 UNIVERSITY AVE STE 100
City: Clive
State: Iowa
ZIP Code: 50325-8286
Phone: (515) 358-9461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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