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1588173959
HEATHER MICHELE SMITH
IDAHO FALLS, ID
NPI
1588173959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-4925)
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
HEATHER MICHELE SMITH PTA
3715 WOODKING DR
IDAHO FALLS, ID 83404-4720
Phone number: 208-529-2255
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Mailing Address
HEATHER MICHELE SMITH PTA
179 E 16TH ST
IDAHO FALLS, ID 83404-5919
Phone number:
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