Doctor Name: | JEFFREY RYAN SMITH |
NPI Number: | 1508837519 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 02984 |
Business Practice Address: | 202 10th Street Se Cedar Rapids, IA - 524032404 |
Business Phone Number: | 3193981506 |
Business Fax Number: | 3195584062 |
Mailing Address: | Po Box 3178, CEDAR RAPIDS |
State: | IA |
Postal Code: | 524063178 |
Phone Number: | 3193981583 |
Fax Number: | 3193992085 |
NPI Enumeration Date: | 01/28/2006 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02984 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |