License holder summary

MS. MANDY RAE SMITH is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for MS. MANDY RAE SMITH is POCATELLO ID 83201. This licensed professional license is current. The license was granted 04/14/2016 and expired on 08/08/2017.

Idaho

Division of Occupational and Professional Licenses

MS. MANDY RAE SMITH
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4580
Date granted
04/14/2016
Date expires
08/08/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43734648
LAST UPDATED 2024-03-15 04:31:44 UTC

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