Most Relevant Information
Provider Data
| NPI Number: | 1003644345 |
| Provider Name: | NATILEE SMITH PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A03523 |
Most Important Dates
| Enumeration Date: | 07/25/2024 |
| Last Updated: | 07/25/2024 |
Provider Practice Location
1500 TRAILHEAD CT
GREENVILLE
SC
296176226
Practice Location Phone/Fax
| Phone: | 8643713100 |
| Fax: |
Provider Mailing Location
355 PELHAM RD APT 7208
GREENVILLE
SC
296153292
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |