Smith Physical Therapy & Wellness, P.c. | |
202 Green Ave, Taft, TX 78390-2706 | |
(361) 528-3018 | |
(361) 528-3542 |
Full Name | Smith Physical Therapy & Wellness, P.c. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 202 Green Ave, Taft, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275840183 | NPI | - | NPPES |
0876815-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 136226 (Texas) | Primary |
Provider Name | Kim Polasek |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871570119 PECOS PAC ID: 1153589015 Enrollment ID: I20120223000116 |
Provider Name | Kobi Smith |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720680531 PECOS PAC ID: 0648681320 Enrollment ID: I20201202000139 |
Mailing Address | Practice Location Address |
---|---|
Smith Physical Therapy & Wellness, P.c. 202 Green Ave, Taft, TX 78390-2706 Ph: (361) 528-3018 | Smith Physical Therapy & Wellness, P.c. 202 Green Ave, Taft, TX 78390-2706 Ph: (361) 528-3018 |
Kobi Smith, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 Green Ave, Taft, TX 78390 Phone: 361-528-3018 | |
Kim A. Polasek, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 202 Green Ave, Taft, TX 78390 Phone: 361-528-3018 Fax: 361-528-3542 |