Provider Demographics
NPI:1831544014
Name:SMITH, CHELSEA ELIZABETH (PT)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:ELIZABETH
Last Name:SMITH
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 1:7240 GREGORY DR
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-2507
Mailing Address - Country:US
Mailing Address - Phone:423-641-8121
Mailing Address - Fax:423-301-6475
Practice Address - Street 1:1804 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-5040
Practice Address - Country:US
Practice Address - Phone:423-641-8121
Practice Address - Fax:423-301-6475
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT012421225100000X
TN10920225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist