| Doctor Name: | MR. JAMIE GEORGE SMITH |
| NPI Number: | 1083641989 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT, ATC, CSCS |
| License Number: | 02870 |
| Business Practice Address: | 2012 S. Burnside Ave. Suite B Gonzales, LA - 707374637 |
| Business Phone Number: | 2256471515 |
| Business Fax Number: | 2256475151 |
| Mailing Address: | Po Box 1991, GONZALES |
| State: | LA |
| Postal Code: | 707071991 |
| Phone Number: | 2256471515 |
| Fax Number: | 2256475151 |
| NPI Enumeration Date: | 06/27/2006 |
| NPI Last Update Date: | 09/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 02870 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |