Most Relevant Information
Provider Data
| NPI Number: | 1003174566 |
| Provider Name: | RASHAD SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT4493 |
Most Important Dates
| Enumeration Date: | 05/02/2012 |
| Last Updated: | 11/30/2016 |
Provider Practice Location
107 AMETHYST LN
BRANDON
MS
390476376
Practice Location Phone/Fax
| Phone: | 6012605767 |
| Fax: |
Provider Mailing Location
3425 N LIBERTY ST
CANTON
MS
390463761
Provider Mailing Phone/Fax
| Phone: | 6016915132 |
| Fax: |