IndividualActive
Elizabeth Smith, PTA
NPI 1942970025 · Physical Therapy Assistant · Hernando, MS
Provider details
- NPI number
- 1942970025
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA6652 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2670 Mcingvale Rd Ste J
Hernando, MS 38632-8696
Phone: (901) 641-3000
Fax: (901) 701-2428
Approximate (ZIP-level) locationGet directions
Mailing address
2670 Mcingvale Rd Ste J
Hernando, MS 38632-8696
Registry dates
- Enumerated
- 2021-09-20
- Last updated
- 2021-09-20
- Certified
- 2021-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.