NPI 1013318427

Andrea Jantson Smith, MSPT

Practitioner Physical Therapist Fort Wayne, IN

Practice location

Address: 11143 Parkview Plaza Dr STE 100, Fort Wayne, IN 46845-1728
Phone: (260) 266-7400
Fax: (260) 266-7439
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 005006978A (IN)

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Registry record

NPI: 1013318427
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Sep 2014
Record last updated: 25 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.