Individual
AARON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
201 DONAGHEY AVE, CONWAY, AR 72035-5001
(501) 416-4283
Mailing address
3801 TYLER ST, CONWAY, AR 72034-7413
(501) 416-4283
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT638
AR
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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