Individual
MITCHELL JASON SMELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3200 W SHIAWASSEE AVE, FENTON HIGH SCHOOL ATHLETICS, FENTON, MI 48430-1762
(810) 591-2629
(810) 591-2624
Mailing address
3240 W SILVER LAKE RD, PHYSIOTHERAPY ASSOCIATES, FENTON, MI 48430-1374
(810) 714-4616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000415
MI
Other
Enumeration date
03/21/2006
Last updated
12/30/2012
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