NPI 1275607640
Nathan Warren Smith, LPTA
Practice location
- Address
- 4115 Ea 240 No, Rigby, ID 83442-5879
- Phone
- (208) 745-1422
- Mailing address
- 4115 Ea 240 North, Rigby, ID 83442-5879
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1275607640
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Nov 2006
- Record last updated
- 8 Jul 2007
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.