Tysa R Smith, INDEPENDENT PROVIDER
NPI #1861118986 in South Charleston, Ohio
Provider Information
- NPI Number
- 1861118986
- Entity Type
- Individual
- Name
- Tysa R Smith, INDEPENDENT PROVIDER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health Aide
- Credential
- INDEPENDENT PROVIDER
- Enumeration Date
- Oct 19, 2022
- Last Updated
- Oct 19, 2022
Practice Location
- Address
- 1144 BIG HILL RD
- City
- South Charleston
- State
- Ohio
- ZIP Code
- 45368-9715
- Phone
- (937) 450-0123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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