Individual
SHELBY LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
6035 RADIO STATION RD, LA PLATA, MD 20646-3369
(301) 848-3199
Mailing address
7400 BRENTLAND RD, WELCOME, MD 20693-3407
(301) 848-3199
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00910
MD
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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