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NPI Code Detail

MEDICARE: MRS. JAMIE JO SMITH MPT

MEDICARE:  MRS. JAMIE JO SMITH  MPT
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 Therapist109277MO

General Provider Information

NPI Number : 1598734964
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAMIE JO SMITH MPT
Provider Business Mailing Address
First Line : 6397 LEE HWY STE 300
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-4915
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 8928 N SKYVIEW AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64154-8502
Country : US
Telephone Number : 816-505-1658
Fax Number : 816-505-1669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 03/20/2020

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Directions to “ MRS. JAMIE JO SMITH MPT” Practice Location

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