Most Relevant Information
Provider Data
| NPI Number: | 1003553298 |
| Provider Name: | RYAN MICHAEL SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 26128 |
Most Important Dates
| Enumeration Date: | 05/18/2022 |
| Last Updated: | 06/24/2022 |
Provider Practice Location
16 HAYDEN AVE
LEXINGTON
MA
024217929
Practice Location Phone/Fax
| Phone: | 7813727000 |
| Fax: |
Provider Mailing Location
71 DEAN ST
BELMONT
MA
024783156
Provider Mailing Phone/Fax
| Phone: | 6179669031 |
| Fax: |