| NPI | 1851872402 |
|---|---|
| Former Name | COURTNEY LYNN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 008281) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013005A) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2022-06-21 |