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Tiesha Smith
Prosthetics Case Management in Normal, Illinois
NPI 1437513553

Tiesha Smith is a Prosthetics Case Management based in Normal, IL and is specialized in Prosthetics Case Management. Tiesha Smith practices in Normal, IL. The NPI Number for Tiesha Smith is 1437513553 and holds a License No. 011.307409 (Illinois).

The current practice location address for Tiesha Smith is 1800 Rockingham Dr, Normal, IL and can be reached out via phone at 309-310-5918.

Location: 1800 Rockingham Dr, Normal, IL, 61761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437513553
Provider Name
Tiesha Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
1800 Rockingham Dr, Normal, IL, 61761
Phone Number
309-310-5918
Fax Number
Provider Enumeration Date
04/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 Rockingham Dr
City
Normal
State
Illinois
Zip
61761
Phone Number
309-310-5918
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Rockingham Dr
City
Normal
State
Illinois
Zip
61761
Phone Number
309-310-5918
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
011.307409 (Illinois)
Definition
Definition to come...
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