| Doctor Name: | MR. TIMOTHY BLAINE SMITH |
| NPI Number: | 1033102819 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | 2305003193 |
| Business Practice Address: | 1412 W 3rd St Farmville, VA - 239012648 |
| Business Phone Number: | 4343921596 |
| Business Fax Number: | 4343925201 |
| Mailing Address: | Po Box 468, FARMVILLE |
| State: | VA |
| Postal Code: | 239010468 |
| Phone Number: | 4343924910 |
| Fax Number: | 4343928793 |
| NPI Enumeration Date: | 08/26/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305003193 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |