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Individual

JASON MATTHEW SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC, LAT

Contact information

Practice address
1130 SMITH FIELDHOUSE, PROVO, UT 84602-2246
(801) 422-2946
Mailing address
688 W 800 N, PROVO, UT 84601-1517
(956) 222-6872

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2562
TX

Other

Enumeration date
08/03/2026
Last updated
08/03/2026
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