Doctor Name: | INGERID B AASE SMITH |
NPI Number: | 1427208107 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5598 |
Business Practice Address: | 947 Veterans Way Suite 4 Redmond, OR - 977562564 |
Business Phone Number: | 5415042350 |
Business Fax Number: | 5415042354 |
Mailing Address: | 805 Sw Industrial Way, Suite 3 BEND |
State: | OR |
Postal Code: | 977021093 |
Phone Number: | 5415852529 |
Fax Number: | 5415852535 |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 06/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |