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NPI Code Detail

MEDICARE: SOMMER ZICKEFOOSE SMITH PT

MEDICARE:   SOMMER ZICKEFOOSE SMITH  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPTH4173AL

General Provider Information

NPI Number : 1336115088
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOMMER ZICKEFOOSE SMITH PT
Provider Business Mailing Address
First Line : 758 MAIN ST STE 120
Second Line :
City : GARDENDALE
State : AL
Zip : 35071-3021
Country : US
Telephone Number : 205-285-9992
Fax Number : 205-285-9995
Provider Business Practice Location Address
First Line : 758 MAIN ST STE 120
Second Line :
City : GARDENDALE
State : AL
Zip : 35071-3021
Country : US
Telephone Number : 205-285-9992
Fax Number : 205-285-9995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 07/13/2022

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Directions to “ SOMMER ZICKEFOOSE SMITH PT” Practice Location

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