NPI 1346527330
Tim M Smith
Practice location
- Address
- 3200 Greenwood Rd., Shreveport, LA 71103
- Phone
- (318) 212-4450
- Mailing address
- 408 Weavers Way, Bossier City, LA 71111-2097
Registered specialties
Clinical Exercise Physiologist
Primary
Registry record
- NPI
- 1346527330
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Nov 2011
- Record last updated
- 4 Nov 2011
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.