Individual
KELLY SMITHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1 UNIVERSITY HTS, ASHEVILLE, NC 28804-3251
(828) 251-6937
Mailing address
128 DAVIDSON DR, REIDSVILLE, NC 27320-8345
(336) 520-1788
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
—
Enumeration date
05/09/2018
Last updated
03/31/2022
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