JACKIE L SMITH

FULTON, MS
NPI1710345780
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT4406)
Enumeration Date2016-02-05
Last Update Date2017-03-13
Business Address
JACKIE L SMITH P.T., D.P.T.
1110 S ADAMS ST
FULTON, MS 38843-8952
Phone number: 662-862-4104
Mailing Address
JACKIE L SMITH P.T., D.P.T.
2416 HIGHWAY 45 N
COLUMBUS, MS 39705-1320
Phone number: 662-327-6705
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