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Jackson Smith, DPT
NPI 1700583374 · on the registry since 2023
Practice
- Address
- 29121 Northwestern Hwy Ste A
Southfield, MI 48034 - Phone
- (248) 599-1166
- Organisation at this address
- Hq Of Southfield Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-14
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