Most Relevant Information
Provider Data
| NPI Number: | 1003462250 |
| Provider Name: | SCOTT SMOLDER |
| Entity Type: | Individual |
| Taxonomy Code: | 2251G0304X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/14/2019 |
| Last Updated: | 08/14/2019 |
Provider Practice Location
400 TRACY WAY STE 100
CHARLESTON
WV
253111280
Practice Location Phone/Fax
| Phone: | 3047200205 |
| Fax: |
Provider Mailing Location
617 CRYSTAL SPRINGS DR
WINFIELD
WV
252138616
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |