Doctor Name: | MR. SHANE T SMITH |
NPI Number: | 1215968110 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 3441 |
Business Practice Address: | 2500 Winchester Pl Suite 100 Spartanburg, SC - 293011550 |
Business Phone Number: | 8645747282 |
Business Fax Number: | 8645747664 |
Mailing Address: | 2500 Winchester Pl, Suite 100 SPARTANBURG |
State: | SC |
Postal Code: | 293011550 |
Phone Number: | 8645747282 |
Fax Number: | 8645747664 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 08/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3441 |
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 |