Individual
MISS AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2135 S FREMONT AVE, SPRINGFIELD, MO 65804-2239
(417) 820-7990
(417) 820-5589
Mailing address
2135 S FREMONT AVE, SPRINGFIELD, MO 65804-2239
(417) 820-7990
(417) 820-5589
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013028787
MO
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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