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1558838185
KENNETH SMITH
THAYNE, WY
NPI
1558838185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WY PT1828)
Enumeration Date
2018-11-01
Last Update Date
2022-07-06
Business Address
KENNETH SMITH PT
487A NORTH MAIN ST
THAYNE, WY 83127
Phone number: 307-883-8877
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Mailing Address
KENNETH SMITH PT
PO BOX 860
THAYNE, WY 83127-0860
Phone number: 307-883-8877
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