NPI 1508972126

Eddison J. Smith, Jr., RKT

Practitioner Kinesiotherapist Hephzibah, GA

Practice location

Address: 2010 Teal CT, Hephzibah, GA 30815-7998
Phone: (706) 793-3398
Fax: (706) 793-9977
Mailing address: 1 Freedom Way, Augusta, GA 30904-6258

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X

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Registry record

NPI: 1508972126
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 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.