Doctor Name: | SMITHA MYSOREKRISHNAPPA |
NPI Number: | 1831439785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2305207180 |
Business Practice Address: | 906 Thompson St Ashland, VA - 230051128 |
Business Phone Number: | 8047983291 |
Business Fax Number: | |
Mailing Address: | 9301 Silver Stream Ln Apt O, HENRICO |
State: | VA |
Postal Code: | 232946446 |
Phone Number: | 4083066556 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2013 |
NPI Last Update Date: | 02/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305207180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |