Provider Demographics
NPI:1912354135
Name:SMITH VANBELLE, TORI MARIE (PT, NCS)
Entity type:Individual
Prefix:MS
First Name:TORI
Middle Name:MARIE
Last Name:SMITH VANBELLE
Suffix:
Gender:F
Credentials:PT, NCS
Other - Prefix:MS
Other - First Name:TORI
Other - Middle Name:MARIE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, NCS
Mailing Address - Street 1:333 E BOUNDARY ST
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-2860
Mailing Address - Country:US
Mailing Address - Phone:419-350-8699
Mailing Address - Fax:
Practice Address - Street 1:333 E BOUNDARY ST
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-2860
Practice Address - Country:US
Practice Address - Phone:419-350-8699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH80802251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology