BRAWN DEWAYNE SMITH

REPUBLIC, MO
NPI1912621244
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: MO  2012023659)
Enumeration Date2022-09-29
Last Update Date2022-09-29
Business Address
BRAWN DEWAYNE SMITH DPT
1401 E LEE ST
REPUBLIC, MO 65738-1283
Phone number: 417-207-1469
Mailing Address
BRAWN DEWAYNE SMITH DPT
1401 E LEE ST
REPUBLIC, MO 65738-1283
Phone number: 417-229-1606