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

DR. LATRESE SMITH-WYNN, PT, DPT

Active

DR. LATRESE SMITH-WYNN, PT, DPT is a Physical Therapy Assistant healthcare provider located in SAINT JOHN, Indiana. NPI 1306330071 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAINT JOHN, IN

Registration Details

NPI Number
1306330071
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2018 (8.1677057551498 yrs)
Last Updated
Jun 18, 2018
License
05007706A (IN)

Practice Information

Address
9660 WICKER AVE
SAINT JOHN, IN, 463739487
Browse IN providers · Browse ZIP 46373
Phone
2192262326
Fax
2192262327
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SAINT JOHN, IN

Name Credential NPI
ELAINE MICHELLE COOPER P.T. 1982650222
TAMARA A NICKSIC PT 1649479544
WILLIAM MAHROUS ELGENDI RPT 1750546644
FADY ELMALH P.T 1932356441
NIKHIL MALIK P.T., C.E.A.S. 1528341567
JOSHUA DEJONG DPT 1245587989
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.