Travis Lee Smith

NPI #1891037867 in Radford, Virginia

Provider Information

NPI Number: 1891037867
Entity Type: Individual
Name: Travis Lee Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 18, 2013
Last Updated: Mar 18, 2013

Practice Location

Address: 700 RANDOLPH ST
City: Radford
State: Virginia
ZIP Code: 24141-2430
Phone: (540) 633-3708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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