Smith, Gary T

Smith, Gary T is an individual health care provider with primary practice located at 3602 E Greenway Rd Ste 106, Phoenix AZ 85032-4648. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Smith, Gary T can be contacted via phone (602) 643-0300.

Contact Information

Primary practice address
3602 E Greenway Rd Ste 106 Phoenix AZ 85032-4648
Phone: (602) 643-0300
Fax: (602) 643-0038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3899 Arizona

Profile Details

NPI number 1881675874
LBN Legal business name Smith, Gary T
Credentials MS, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Feb 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881675874 NPPES
Arizona MEDICAID 497009

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