Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Edward Smith

Individual provider Physical Therapist · NPI 1235525296

Mark Edward Smith is a Physical Therapist in Kennett, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2015

Practice location Address checks out

1120 Falcon Dr
Kennett, MO 63857-3825
Phone: (573) 888-1150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2011000736 (MO)

Record details

NPI number1235525296
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2015
Last updated in NPPESApril 7, 2015

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