Doctor Name: | HOLLY BERRY SMITH |
NPI Number: | 1902131196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT3820 |
Business Practice Address: | 2580 Jackson Ave W Suite 38 Oxford, MS - 386555489 |
Business Phone Number: | 6622328949 |
Business Fax Number: | 6622328950 |
Mailing Address: | 2580 Jackson Ave W, Suite 38 OXFORD |
State: | MS |
Postal Code: | 386555489 |
Phone Number: | 6622328949 |
Fax Number: | 6622328950 |
NPI Enumeration Date: | 10/06/2009 |
NPI Last Update Date: | 10/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT3820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |