Smith, Mandy

Smith, Mandy is an individual health care provider with primary practice located at 1951 Bench Rd Suite E, Pocatello ID 83201-2013. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Smith, Mandy can be contacted via phone (208) 237-2080.

Contact Information

Primary practice address
1951 Bench Rd Suite E Pocatello ID 83201-2013
Phone: (208) 237-2080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA-4580 Idaho

Profile Details

NPI number 1528414513
LBN Legal business name Smith, Mandy
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2016
Last updated May 9th, 2016 - about 10 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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