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Kristin Smith, PT

Physical Therapist in Niles, MI. Individual provider (NPI-1).

NPI number1356777288
StatusActive
Last updated in NPPESJan 3, 2014

Details

NPI
1356777288
Entity type
Individual (NPI-1)
Name
Kristin Smith
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 24, 2013
Last updated
Jan 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5501016513MIYes

Practice location

20 N 2nd St Ste 3
Niles, MI 49120-2259

Phone 269-687-9594 · Fax 269-687-9543

Mailing address

415 E 16th St
Mishawaka, IN 46544-5518

Phone 810-441-6686

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