Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIESHA SMITH
Active Sole ProprietorTIESHA SMITH is a Physical Therapist Assistant healthcare provider located in NORMAL, Illinois. NPI 1437513553 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · NORMAL, IL
Registration Details
- NPI Number
- 1437513553
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2016 (10.169873848404 yrs)
- Last Updated
- Apr 6, 2016
- License
-
011.307409 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1800 ROCKINGHAM DRAPT 1DNORMAL, IL, 61761Browse IL providers · Browse ZIP 61761
- Phone
- 3093105918
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
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.