| Doctor Name: | PIETER DE SMIDT |
| NPI Number: | 1174612527 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 1072643 |
| Business Practice Address: | 2235 Thousand Oaks Dr Suite 118 San Antonio, TX - 782323969 |
| Business Phone Number: | 2104023856 |
| Business Fax Number: | 2104905921 |
| Mailing Address: | 1045 Central Parkway North, Suite 200 SAN ANTONIO |
| State: | TX |
| Postal Code: | 782325024 |
| Phone Number: | 2105414500 |
| Fax Number: | 2105414508 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1072643 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |