person
Mr. Michelle Renee Smyth, OT
Military Health Care Provider in Fort Carson, Colorado
NPI 1699744680

Michelle Renee Smyth is a Military Health Care Provider based in Colorado Springs, CO. Michelle Renee Smyth practices in Fort Carson, CO and has the professional credentials of OT. The NPI Number for Michelle Renee Smyth is 1699744680 and holds a License No. KY-R2835 (Colorado).

The current practice location address for Michelle Renee Smyth is 1650 Cochrane Cir, Fort Carson, CO and can be reached out via phone at 719-526-7110.

Location: 1650 Cochrane Cir, Fort Carson, CO, 80906-8513
person
Provider Profile Details
NPI Number
1699744680
Provider Name
Michelle Renee Smyth
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
1650 Cochrane Cir, Fort Carson, CO, 80906-8513
Phone Number
719-526-7110
Fax Number
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1650 Cochrane Cir
City
State
Zip
80913-4603
Phone Number
719-526-7110
Fax Number
person
Provider Business Mailing Address Details
Address
1650 Cochrane Cir
City
State
Zip
80913-4603
Phone Number
719-526-7110
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
KY-R2835 (Kentucky)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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