| Doctor Name: | DR. JUSTIN SMITH |
| NPI Number: | 1598849648 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | JUSTIN SMITH PT, DPT |
| License Number: | 7663 |
| Business Practice Address: | 629 W Elk Ave Elizabethton, TN - 376432559 |
| Business Phone Number: | 4235430073 |
| Business Fax Number: | 4235431277 |
| Mailing Address: | 109 Donna Ave, ELIZABETHTON |
| State: | TN |
| Postal Code: | 376432818 |
| Phone Number: | 4233354210 |
| Fax Number: | 4235431277 |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 7663 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| 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 |