Provider Demographics
NPI:1184653685
Name:WRIGHT-SMITH, ANNETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:
Last Name:WRIGHT-SMITH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:
Other - Last Name:WRIGHTSMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:P.O. BOX 386
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-0386
Mailing Address - Country:US
Mailing Address - Phone:623-936-9353
Mailing Address - Fax:623-936-9354
Practice Address - Street 1:10320 W. MCDOWELL RD
Practice Address - Street 2:SUITE E-5013
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-4863
Practice Address - Country:US
Practice Address - Phone:623-936-9353
Practice Address - Fax:623-936-9354
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7371111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor