| Doctor Name: | CORY SMITH |
| NPI Number: | 1952794273 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT29757 |
| Business Practice Address: | 1897 Island Walk Way Unit 5 Fernandina Beach, FL - 320341948 |
| Business Phone Number: | 9042614664 |
| Business Fax Number: | 9042615852 |
| Mailing Address: | Po Box 949, ROME |
| State: | GA |
| Postal Code: | 301620949 |
| Phone Number: | 7068021991 |
| Fax Number: | 7062362783 |
| NPI Enumeration Date: | 03/11/2015 |
| NPI Last Update Date: | 03/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT29757 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |