Search › Michigan › 103TC1900X
Tynetta Smith, M.S., DTLLP
NPI 1700313764 · on the registry since 2017
Practice
- Address
- 1400 W Milham Ave
Portage, MI 49024 - Phone
- (888) 344-5977
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan