IndividualActive
Jamie Smith, MSPT, ATC, CSCS
NPI 1083641989 · Orthopedic Physical Therapist · Gonzales, LA
Provider details
- NPI number
- 1083641989
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT, ATC, CSCS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 02870 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2012 S. Burnside Ave.
Suite B
Gonzales, LA 70737-4637
Phone: (225) 647-1515
Fax: (225) 647-5151
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1991
Gonzales, LA 70707-1991
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2007-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.