| NPI | 1659659951 |
|---|---|
| Former Name | TRISTA L SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NV 5115) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6602) |
| 225100000X Physical Therapist (Licence: IN 05010775A) | |
| 225100000X Physical Therapist (Licence: NV 5115) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2023-07-31 |