Mr. Kory Albert Smith
Physical Therapist
20104 State Route 3
Watertown
, New York 13601-5560
Mr. Kory Albert Smith
Physical Therapist
20104 State Route 3
Watertown
, New York 13601-5560
(315) 779-7100
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Mr. Kory Albert Smith
- 20104 State Route 3
- Watertown, NY
- Zip : 13601-5560
- Phone : (315) 779-7100
Second Address
- Mr. Kory Albert Smith
- 20104 State Route 3
- Watertown, NY
- Zip : 13601-5560
- Phone : (315) 779-7100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 021372-1 | NY |
National Provider Identifier
| NPI | 1003190885 |
|---|---|
| Provider Name | Mr. Kory Albert Smith |
| First Address | Watertown, NY 13601-5560 |
| Second Address | Watertown, NY 13601-5560 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2011 |
| Last Update Date | 28/09/2011 |
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.