Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRAWN DEWAYNE SMITH, DPT
Active Sole ProprietorBRAWN DEWAYNE SMITH, DPT is a Physical Therapy Clinic healthcare provider located in REPUBLIC, Missouri. NPI 1912621244 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · REPUBLIC, MO
Registration Details
- NPI Number
- 1912621244
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2022 (3.8931288297785 yrs)
- Last Updated
- Sep 29, 2022
- License
-
2012023659 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1401 E LEE STREPUBLIC, MO, 657381283Browse MO providers · Browse ZIP 65738
- Phone
- 4172071469
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
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.