Smith, Michael J

Smith, Michael J is an individual health care provider with primary practice located at 801 Pole Line Rd W , Twin Falls ID 83301-5810. 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, Michael J can be contacted via phone (208) 814-2495.

Contact Information

Primary practice address
801 Pole Line Rd W Twin Falls ID 83301-5810
Phone: (208) 814-2495
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-4850 Idaho

Profile Details

NPI number 1720536733
LBN Legal business name Smith, Michael J
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2016
Last updated Feb 15th, 2018 - about 7 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 1720536733 NPPES
Idaho Other PT-4850 STATE LICENSE

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