Dr. Benjamin A Smith, DPT
Physical Therapist in Portage, MI. Individual provider (NPI-1).
NPI number1801337142
StatusActive
Last updated in NPPESDec 28, 2023
Details
- NPI
- 1801337142
- Entity type
- Individual (NPI-1)
- Name
- Dr. Benjamin A Smith
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2017
- Certification date
- Dec 28, 2023
- Last updated
- Dec 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501017853 | MI | Yes |
Practice location
3011 Fleetwood DrPortage, MI 49024-5607
Phone 269-979-3000
Mailing address
3011 Fleetwood DrPortage, MI 49024-5607
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