Healthcare Provider Details

I. General information

NPI: 1487561130
Provider Name (Legal Business Name): ZOE P SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 BONIFACE PKWY
ANCHORAGE AK
99504-1038
US

IV. Provider business mailing address

GENERAL DELIVERY
PORT ALSWORTH AK
99653-9999
US

V. Phone/Fax

Practice location:
  • Phone: 907-231-6268
  • Fax:
Mailing address:
  • Phone: 907-781-3102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number255839
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: