| Mark Edward Smith, | |
|
1120 Falcon Dr, Kennett, MO 63857-3825 | |
| (573) 888-1150 | |
| Not Available |
| Full Name | Mark Edward Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1120 Falcon Dr, Kennett, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235525296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2011000736 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Edward Smith, 807 Teal Cv, Kennett, MO 63857-9122 Ph: (573) 344-0503 | Mark Edward Smith, 1120 Falcon Dr, Kennett, MO 63857-3825 Ph: (573) 888-1150 |
Mr. Bradley Deckard, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 Falcon Dr, Kennett, MO 63857 Phone: 573-888-1150 | |
Traci Patterson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1802 Saint Francis St, Kennett, MO 63857 Phone: 573-888-1044 | |
Wilmir Phillip Barrera, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 W Washington St, Kennett, MO 63857 Phone: 573-717-9280 |