IndividualActive
Alicia Smith, PTA
NPI 1376704890 · Physical Therapy Assistant · Kingman, AZ
Provider details
- NPI number
- 1376704890
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7643AA (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1081 Kathleen Ave
Kingman, AZ 86401-3918
Phone: (573) 471-2544
Approximate (ZIP-level) locationGet directions
Mailing address
1081 Kathleen Ave
Kingman, AZ 86401-3918
Registry dates
- Enumerated
- 2008-06-18
- Last updated
- 2008-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.