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ANDREW SMIETANA, DPT

Deactivated

ANDREW SMIETANA, DPT is a Physical Therapy Assistant healthcare provider located in HOLLOMAN AFB, New Mexico. NPI 1649629338 is deactivated in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HOLLOMAN AFB, NM

This NPI has been deactivated. The record was deactivated on October 23, 2018. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1649629338
Provider Type
Individual
Gender
Male
NPI Issued
Jun 3, 2016 (2.3890410958904 yrs)
Last Updated
Dec 13, 2023
Deactivated
Oct 23, 2018
License
11094 (CT)

Practice Information

Address
280 DAVID L GOLDFEIN ST
HOLLOMAN AFB, NM, 883308273
Browse NM providers · Browse ZIP 88330
Phone
5755728860
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in HOLLOMAN AFB, NM

Name Credential NPI
GARRET ANTHONY WADSACK PT 1033241922
JEROME CARLOS MALIMBAN PT, DPT 1174049472
JESSICA PAGANO DPT 1851806145
LEVI JOHNSON 1225537228
MRS. SARAH BANISTER DPT 1376104141
KAITLYN M SHAUGHNESSY DPT 1255983417
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.