Provider Demographics
NPI:1700831807
Name:SMYTHE, BARBARA (PT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:SMYTHE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E 54TH ST N
Mailing Address - Street 2:STE 200
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-0647
Mailing Address - Country:US
Mailing Address - Phone:605-328-9300
Mailing Address - Fax:605-328-9301
Practice Address - Street 1:900 E 54TH ST N STE 200
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-0686
Practice Address - Country:US
Practice Address - Phone:605-328-9300
Practice Address - Fax:605-328-9301
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1092225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
E95473Medicare UPIN
SDS101655Medicare PIN