Provider Demographics
NPI:1063803617
Name:SMITH, WEBB A (PHD)
Entity type:Individual
Prefix:DR
First Name:WEBB
Middle Name:A
Last Name:SMITH
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:50 N DUNLAP ST
Mailing Address - Street 2:CFRI ROOM 308R
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-2800
Mailing Address - Country:US
Mailing Address - Phone:901-287-6864
Mailing Address - Fax:
Practice Address - Street 1:50 N DUNLAP ST
Practice Address - Street 2:CFRI ROOM 308R
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-2800
Practice Address - Country:US
Practice Address - Phone:901-287-5358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist