Most Relevant Information
Provider Data
| NPI Number: | 1003461690 |
| Provider Name: | ANNETTE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/09/2019 |
| Last Updated: | 11/08/2023 |
Provider Practice Location
10574 GREENBELT DR
CLIVE
IA
503256617
Practice Location Phone/Fax
| Phone: | 5155208037 |
| Fax: |
Provider Mailing Location
10574 GREENBELT DR
CLIVE
IA
503256617
Provider Mailing Phone/Fax
| Phone: | 5154734725 |
| Fax: |