Individual
MR. JEFFREY BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
131 COMMONWEALTH AVE, BOYDEN ROOM 9, AMHERST, MA 01003-9253
(413) 545-2866
(413) 545-3150
Mailing address
36 COUNTRY LN, SUNDERLAND, MA 01375-9600
(413) 665-4204
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1435
MA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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