Individual
GWENDOLYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1400 WASHINGTON AVE, ALBANY, NY 12222-3707
(518) 442-3725
Mailing address
206 MOHAWK ST FL 1, COHOES, NY 12047-3017
(413) 847-0178
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1747
CT
2255A2300X
Athletic Trainer
ATL3763
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
04/23/2022
Last updated
03/18/2025
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