NPI 1013407915

Alex N Smithback, DPT

Practitioner Physical Therapist Sturgeon Bay, WI

Practice location

Address: 311 N 3rd Ave, Sturgeon Bay, WI 54235-2401
Phone: (920) 743-0255
Fax: (920) 743-6680
Mailing address: PO Box 22487, Green Bay, WI 54305-2487

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 14166-24 (WI)

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Registry record

NPI: 1013407915
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2018
Record last updated: 23 Nov 2020

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.