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General NPI Number Information
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NPI Number | 1518831403
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Entity Type | Organization
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Legal Business Name | SMILEY PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 6901 HIGHWAY 305 N # F
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-2317
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Country | US
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Telephone | 662-895-2332
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Fax | 662-895-2360
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Provider Business Mailing Address
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Address Line | 1651 LINDSEY LN
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City | SOUTHAVEN
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State | MS
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Zip | 38672-8553
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Country | US
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Telephone | 901-895-2332
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SUSAN ELIZABETH SMILEY
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Credential | MPT
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Telephone | 901-289-0583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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