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1790140507
KEVIN SMITH
CLIVE, IA
NPI
1790140507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 02790)
Enumeration Date
2015-12-21
Last Update Date
2018-03-28
Business Address
KEVIN SMITH PT
12493 UNIVERSITY AVE STE 100
CLIVE, IA 50325-8286
Phone number: 515-358-9461
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Mailing Address
KEVIN SMITH PT
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-358-9461
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