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1407539976
JACOB TYLER SMITH
FORT WORTH, TX
NPI
1407539976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
(Licence: TX 1381121)
Enumeration Date
2023-08-10
Last Update Date
2024-04-26
Business Address
JACOB TYLER SMITH
4108 BOAT CLUB RD
FORT WORTH, TX 76135-2604
Phone number: 817-238-9295
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Mailing Address
JACOB TYLER SMITH
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 334-231-5364
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