Christopher Shane Smith
Physical Therapist - Orthopedic
1400 Midtown Road
Peru
, Illinois 61354
Christopher Shane Smith
Physical Therapist - Orthopedic
1400 Midtown Road
Peru
, Illinois 61354
(815) 223-4667
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Christopher Shane Smith
- 1400 Midtown Road
- Peru, IL
- Zip : 61354
- Fax : (815) 223-4667
- Phone : (815) 223-8600
Second Address
- Christopher Shane Smith
- 1400 Midtown Road
- Peru, IL
- Zip : 61354
- Fax : (815) 223-4667
- Phone : (815) 223-8600
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FAQs
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What type of doctor is Christopher Shane Smith
In what state does Christopher Shane Smith practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 070.015326 | IL |
National Provider Identifier
| NPI | 1003281668 |
|---|---|
| Provider Name | Christopher Shane Smith |
| First Address | Peru, IL 61354 |
| Second Address | Peru, IL 61354 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/12/2015 |
| Last Update Date | 08/12/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.