Doctor Name: | LUCILLE JAUBERT SMITH |
NPI Number: | 1861799207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 8883 |
Business Practice Address: | 2580 Jackson Ave W Suite 38 Oxford, MS - 386555489 |
Business Phone Number: | 6622328949 |
Business Fax Number: | 6622328950 |
Mailing Address: | 2714 W Oxford Loop, Suite 164 OXFORD |
State: | MS |
Postal Code: | 386555711 |
Phone Number: | 6622328949 |
Fax Number: | 6622328950 |
NPI Enumeration Date: | 02/22/2011 |
NPI Last Update Date: | 01/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8883 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |