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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK EDWARD SMITH

Active Sole Proprietor

MARK EDWARD SMITH is a Physical Therapy Assistant healthcare provider located in KENNETT, Missouri. NPI 1235525296 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · KENNETT, MO

Registration Details

NPI Number
1235525296
Provider Type
Individual
Gender
Male
NPI Issued
Apr 7, 2015 (11.312891725952 yrs)
Last Updated
Apr 7, 2015
License
2011000736 (MO)
Sole Proprietor
Yes

Practice Information

Address
1120 FALCON DR
KENNETT, MO, 638573825
Browse MO providers · Browse ZIP 63857
Phone
5738881150
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in KENNETT, MO

Name Credential NPI
MR. BRADLEY DECKARD P.T. 1649525148
TRACI PATTERSON P.T. 1861803900
WILMIR PHILLIP BARRERA RPT 1922403989
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.