Doctor Name: | KARISSA SMITH |
NPI Number: | 1730544545 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 43389 |
Business Practice Address: | 3262 E Thousand Oaks Blvd Ste 100 Thousand Oaks, CA - 913623445 |
Business Phone Number: | 8053749900 |
Business Fax Number: | |
Mailing Address: | 4808 Far Country Ct, MOORPARK |
State: | CA |
Postal Code: | 930213521 |
Phone Number: | 8054283869 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2015 |
NPI Last Update Date: | 12/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 43389 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |