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

Mr. Dwayne Patrick Smith

Individual provider Physical Therapy Assistant · NPI 1720292022

Mr. Dwayne Patrick Smith is a Physical Therapy Assistant in Park Hills, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

1103 Koen Creek Ct Apt A
Park Hills, MO 63601
Phone: (573) 747-7059
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 116882 (MO)

Record details

NPI number1720292022
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1103 Koen Creek Ct. Apt. A, Park Hills, MO 63601