ADDISON M SMITH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007576

License Status

ACTIVE

Business

First Name

ADDISON

Middle

Last Name

SMITH

Business Name

ADDISON M SMITH

Original Issue Date

07/28/2016

Effective Date

09/15/2025

Expiration Date

09/30/2027

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

09/15/2025