Individual
SHARON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
Mailing address
616 S MAIN ST, WINCHESTER, IN 47394-2143
(765) 969-8261
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003156A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
09/20/2016
Last updated
07/01/2022
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