Doctor Name: | DR. JERRY RICHARD SMITH |
NPI Number: | 1679597850 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT, ATC |
License Number: | PT22484 |
Business Practice Address: | Barbel Plz #8 New Quarter St Thomas, VI - 008024600 |
Business Phone Number: | 3407794678 |
Business Fax Number: | 3407154678 |
Mailing Address: | Po Box 302178, ST THOMAS |
State: | VI |
Postal Code: | 008032178 |
Phone Number: | 3407794678 |
Fax Number: | 3407154678 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT22484 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |