Healthcare Provider Details

I. General information

NPI: 1245193010
Provider Name (Legal Business Name): CATHERINE SMITH PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 W CENTRAL AVE
TOLEDO OH
43606-3834
US

IV. Provider business mailing address

2150 W CENTRAL AVE
TOLEDO OH
43606-3834
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-8370
  • Fax: 419-479-3290
Mailing address:
  • Phone: 419-291-8370
  • Fax: 419-479-3290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT020926
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: