Provider Demographics
NPI:1285513259
Name:SMITH, MARION REILLEY
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:REILLEY
Last Name:SMITH
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 HADLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-9741
Mailing Address - Country:US
Mailing Address - Phone:803-743-6007
Mailing Address - Fax:803-881-3534
Practice Address - Street 1:205 HADLEIGH DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-9741
Practice Address - Country:US
Practice Address - Phone:803-743-6007
Practice Address - Fax:803-881-3534
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist