Most Relevant Information
Provider Data
| NPI Number: | 1003579202 |
| Provider Name: | ALYSSA T SMITH DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1352212 |
Most Important Dates
| Enumeration Date: | 10/15/2021 |
| Last Updated: | 01/24/2022 |
Provider Practice Location
3202 4TH ST STE 101
LONGVIEW
TX
756055218
Practice Location Phone/Fax
| Phone: | 9037536635 |
| Fax: | 9037531114 |
Provider Mailing Location
PO BOX 5360
LONGVIEW
TX
756085360
Provider Mailing Phone/Fax
| Phone: | 9037536635 |
| Fax: | 9037531114 |