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NPI Code Detail

MEDICARE: JONATHAN SMITHERS PTA

MEDICARE:   JONATHAN  SMITHERS  PTA
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
1225200000XPhysical Therapy Assistant9102MA

General Provider Information

NPI Number : 1295509719
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN SMITHERS PTA
Provider Business Mailing Address
First Line : 425 MAIN ST UNIT 11A
Second Line :
City : HUDSON
State : MA
Zip : 01749-1850
Country : US
Telephone Number : 508-683-9415
Fax Number :
Provider Business Practice Location Address
First Line : 22 SOUTH ST
Second Line :
City : HOPKINTON
State : MA
Zip : 01748-2246
Country : US
Telephone Number : 978-517-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2023
Last Update Date : 11/15/2023

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Directions to “ JONATHAN SMITHERS PTA” Practice Location

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