Doctor Name: | MR. DWAYNE E SMITH |
NPI Number: | 1861669251 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 05002522A |
Business Practice Address: | 3600 W Bethel Ave. Muncie, IN - 473045407 |
Business Phone Number: | 7652133870 |
Business Fax Number: | 7652133888 |
Mailing Address: | 3813 S. Madison Street, MUNCIE |
State: | IN |
Postal Code: | 473025758 |
Phone Number: | 7657513361 |
Fax Number: | 7657513369 |
NPI Enumeration Date: | 05/14/2008 |
NPI Last Update Date: | 08/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05002522A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |