Kimberly Smith, PTA

Physical Therapy Assistant · Versailles, MO

Individual Active NPI

NPI number 1730652355

Practice location

1101 W Clay Rd
Versailles, MO 65084-1177
Phone
(573) 280-3321
Fax
(573) 539-3066

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NPI record

NPI
1730652355
Entity type
Individual (Type 1)
Enumeration date
January 7, 2019
Last updated
January 7, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X — —
Physical Therapy Assistant 225200000X 2006038459 MO

Mailing address

1682 Cup Tree Rd
Gravois Mills, MO 65037-6930
Phone
(573) 280-3321

About Kimberly Smith

Kimberly Smith, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1101 W Clay Rd, Versailles, MO 65084-1177. The NPI number 1730652355 was assigned on January 7, 2019 and the record was last updated on January 7, 2019.

Kimberly Smith lists a license in the registry: #2006038459 (MO) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kimberly Smith, PTA?

The NPI number is 1730652355.

What is the phone number of Kimberly Smith?

The phone number listed for the practice location is (573) 280-3321.

Where is Kimberly Smith located?

1101 W Clay Rd, Versailles, MO 65084-1177.

What is the taxonomy code for Kimberly Smith?

The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.

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.

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