Individual
ASHLEY WAGNER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
14001 HURRICANE BLVD, IRVINGTON, AL 36544-3071
(267) 664-2519
Mailing address
2877 S SHERWOOD DR, MOBILE, AL 36606-2418
(267) 664-2519
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1743
AL
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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