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NPI Code Detail

MEDICARE: CHELSEA SMITH DPT

MEDICARE: CHELSEA SMITH DPT
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 Therapist1258181TX

General Provider Information

NPI Number : 1356717433
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA SMITH DPT
Provider Business Mailing Address
First Line : 825 W FAIRWINDS ST
Second Line :
City : HALLETTSVILLE
State : TX
Zip : 77964-3531
Country : US
Telephone Number : 361-798-3268
Fax Number :
Provider Business Practice Location Address
First Line : 825 W FAIRWINDS ST
Second Line :
City : HALLETTSVILLE
State : TX
Zip : 77964-3531
Country : US
Telephone Number : 361-798-3268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2015
Last Update Date : 08/12/2015

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Directions to “ CHELSEA SMITH DPT” Practice Location

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