Provider Demographics
NPI:1154559649
Name:SMUTKO, JOANNE ANITA (CMT, NCTMB)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:ANITA
Last Name:SMUTKO
Suffix:
Gender:F
Credentials:CMT, NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7031 CRIDER RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-2385
Mailing Address - Country:US
Mailing Address - Phone:412-298-5854
Mailing Address - Fax:
Practice Address - Street 1:7031 CRIDER RD
Practice Address - Street 2:SUITE 103
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-2385
Practice Address - Country:US
Practice Address - Phone:412-298-5854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist