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1083814479
HEATHER NICOLE SMITH
KINGSPORT, TN
NPI
1083814479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 0000006264)
Enumeration Date
2007-07-23
Last Update Date
2007-07-23
Business Address
HEATHER NICOLE SMITH P.T.
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-224-5510
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Mailing Address
HEATHER NICOLE SMITH P.T.
815 GOSHEN VALLEY RD
CHURCH HILL, TN 37642-5038
Phone number:
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