Most Relevant Information
Provider Data
| NPI Number: | 1003659780 |
| Provider Name: | COLTON KENNETH SMITH DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT61528795 |
Most Important Dates
| Enumeration Date: | 06/18/2024 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
19321 MOUNTAIN HWY E STE 100
SPANAWAY
WA
983878450
Practice Location Phone/Fax
| Phone: | 2538468918 |
| Fax: |
Provider Mailing Location
6050 TACOMA MALL BLVD STE 300
TACOMA
WA
984096828
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |