Jackie L. Smith, P.T., D.P.T.

Physical Therapist · Fulton, MS

Individual Active NPI

NPI number 1710345780

Practice location

1110 S Adams St
Fulton, MS 38843-8952
Phone
(662) 862-4104
Fax
(662) 862-4162

Open in Google Maps

NPI record

NPI
1710345780
Entity type
Individual (Type 1)
Enumeration date
February 5, 2016
Last updated
March 13, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT4406 MS

Mailing address

2416 Highway 45 N
Columbus, MS 39705-1320
Phone
(662) 327-6705
Fax
(662) 327-6760

About Jackie Smith

Jackie L. Smith, P.T., D.P.T. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 1110 S Adams St, Fulton, MS 38843-8952. The NPI number 1710345780 was assigned on February 5, 2016 and the record was last updated on March 13, 2017.

Jackie Smith lists a license in the registry: #PT4406 (MS) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jackie L. Smith, P.T., D.P.T.?

The NPI number is 1710345780.

What is the phone number of Jackie Smith?

The phone number listed for the practice location is (662) 862-4104.

Where is Jackie Smith located?

1110 S Adams St, Fulton, MS 38843-8952.

What is the taxonomy code for Jackie Smith?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapist providers in Fulton

All Physical Therapist providers in Fulton, MS →