Michelle Renee Smyth, OT Valid NPI

Individual provider · Military Health Care Provider · Fort Carson, CO

NPI

1699744680

Type

Individual (Type 1)

Primary specialty

Military Health Care Provider

Specialty group

Other Service Providers

Taxonomy code

171000000X

License number

KY-R2835 (KY)

Sex

Female

Sole proprietor

No

Enumerated

2006-03-14

Last updated

2007-07-08