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

TRACEY LYNN SMITH, PT

Active Sole Proprietor

TRACEY LYNN SMITH, PT is a Physical Therapy Assistant healthcare provider located in LAKE RONKONKOMA, New York. NPI 1356470751 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE RONKONKOMA, NY

Registration Details

NPI Number
1356470751
Provider Type
Individual
Gender
Female
NPI Issued
Mar 4, 2007 (19.450559627282 yrs)
Last Updated
Jul 8, 2007
License
025842 (NY)
Sole Proprietor
Yes

Practice Information

Address
167 SMITH RD
LAKE RONKONKOMA, NY, 117792213
Browse NY providers · Browse ZIP 11779
Phone
6313481389
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LAKE RONKONKOMA, NY

Name Credential NPI
MR. GREGORY BRET NEILSEN MPT 1851301311
JOSEPH JOHN VALERIO PT 1477644011
VICTORIA ANN VALERIO PT 1467543009
MRS. KRISTY A GOODMAN PT 1396804449
BARBARA M. CONNER P.T. 1366577538
MRS. KIMBERLY MESSINA P.T. 1205056959
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.