IndividualActive
Ian Smith, LMP
NPI 1720107212 · Rehabilitation Chiropractor · Puyallup, WA
Provider details
- NPI number
- 1720107212
- Entity type
- Individual
- Primary specialty
- Rehabilitation ChiropractorChiropractic Providers
- Credential
- LMP
- Sex
- Male
- Sole proprietor
- No
- License
- MA00021875 (WA)
Mailing address
11723 63rd Ave E
Puyallup, WA 98373-4333
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.