Doctor Name: | JESSE C. SMITH |
NPI Number: | 1013091859 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT, DPT |
License Number: | 4778 |
Business Practice Address: | 2000 Highway 160 W Suite 113 Fort Mill, SC - 297088548 |
Business Phone Number: | 8038020266 |
Business Fax Number: | 8038020373 |
Mailing Address: | 2000 Highway 160 W, Suite 113 FORT MILL |
State: | SC |
Postal Code: | 297088548 |
Phone Number: | 8038020266 |
Fax Number: | 8038020373 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 09/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |