NATHAN WARREN SMITH

RIGBY, ID
NPI1275607640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-180)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
-- NATHAN WARREN SMITH LPTA
4115 EA 240 NO
RIGBY, ID 83442-5879
Phone number: 208-745-1422
Mailing Address
-- NATHAN WARREN SMITH LPTA
4115 EA 240 NORTH
RIGBY, ID 83442-5879
Phone number: 208-745-1422
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