Smith, Alisa D.

Smith, Alisa D. is an individual health care provider with primary practice located at 2410 Susannah St , Johnson City TN 37601-1748. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Smith, Alisa D. can be contacted via phone (423) 282-9011.

Contact Information

Primary practice address
2410 Susannah St Johnson City TN 37601-1748
Phone: (423) 282-9011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT013546 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9585 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12134 Tennessee

Profile Details

NPI number 1659357697
LBN Legal business name Smith, Alisa D.
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jan 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659357697 NPPES
Tennessee Other 12134 PHYSICAL THERAPIST

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