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NPI Code Detail

MEDICARE: CHRISTA M. SMITH DPT

MEDICARE: CHRISTA M. SMITH DPT
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 TherapistPT 24555FL

General Provider Information

NPI Number : 1447413711
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTA M. SMITH DPT
Provider Business Mailing Address
First Line : 11528 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-1442
Country : US
Telephone Number : 727-868-2151
Fax Number : 727-819-8362
Provider Business Practice Location Address
First Line : 11528 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-1442
Country : US
Telephone Number : 727-861-4770
Fax Number : 727-861-3351
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2008
Last Update Date : 11/30/2009

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Directions to “ CHRISTA M. SMITH DPT” Practice Location

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