Individual
MISS HEATHER RENEE' SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
5750 GREENHOUSE RD, KATY, TX 77449-3417
(281) 856-1273
Mailing address
12519 KEEPERS TRL, CYPRESS, TX 77429-3291
(832) 244-4177
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4613
TX
Other
Enumeration date
03/17/2006
Last updated
04/26/2022
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