Mark Edward Smith, | |
1120 Falcon Dr, Kennett, MO 63857-3825 | |
(573) 888-1150 | |
Not Available |
Full Name | Mark Edward Smith |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1120 Falcon Dr, Kennett, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235525296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2011000736 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mark Edward Smith, 807 Teal Cv, Kennett, MO 63857-9122 Ph: (573) 344-0503 | Mark Edward Smith, 1120 Falcon Dr, Kennett, MO 63857-3825 Ph: (573) 888-1150 |
Mr. Bradley Deckard, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 Falcon Dr, Kennett, MO 63857 Phone: 573-888-1150 | |
Traci Patterson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1802 Saint Francis St, Kennett, MO 63857 Phone: 573-888-1044 | |
Wilmir Phillip Barrera, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 W Washington St, Kennett, MO 63857 Phone: 573-717-9280 |