Individual
MISS KRYSTAL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 SPRING GARDEN ST., 136 HHP BUILDING, UNCG ATHLETICS, GREENSBORO, NC 27402-6168
(336) 334-5925
(334) 256-0407
Mailing address
4007 PERSIMMON CT, GREENSBORO, NC 27410-8620
(714) 393-9115
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1152
NC
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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