Individual
DR. BROOKE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, MS, ATC
Contact information
Practice address
PO BOX 2151, BLANCHARD, OK 73010-2151
(717) 283-7271
Mailing address
200 W 15TH ST APT 76, EDMOND, OK 73013-3610
(717) 283-7271
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4567
OK
2255A2300X
Athletic Trainer
744
OK
Other
Enumeration date
01/08/2018
Last updated
05/08/2024
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