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NPI Code Detail

MEDICARE: KAREN SMITH PT

MEDICARE: KAREN 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 Therapist002265KY
2225100000XPhysical TherapistPT37075FL

General Provider Information

NPI Number : 1467790931
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN SMITH PT
Provider Business Mailing Address
First Line : PO BOX 949
Second Line :
City : ROME
State : GA
Zip : 30162-0949
Country : US
Telephone Number : 904-261-4664
Fax Number : 904-261-5852
Provider Business Practice Location Address
First Line : 1897 ISLAND WALK WAY STE 5
Second Line :
City : FERNANDINA BEACH
State : FL
Zip : 32034-1949
Country : US
Telephone Number : 904-261-4664
Fax Number : 904-261-5852
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2013
Last Update Date : 09/22/2023

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Directions to “ KAREN SMITH PT” Practice Location

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